Individual
KYLE HOGGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
915 ANDERSON DR, ABERDEEN, WA 98520-1006
(360) 532-8330
Mailing address
801 W CALIFORNIA RD, SHELTON, WA 98584
(206) 406-6972
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160792381
WA
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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