Individual
KYLE C KASZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
N112W17975 MEQUON RD, GERMANTOWN, WI 53022-2425
(262) 532-7600
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11665
WI
2251X0800X
Orthopedic Physical Therapist
070-012054
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100024669
—
WI
Enumeration date
12/07/2005
Last updated
12/08/2021
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