Individual
KYLE L. SCHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4141 5TH ST, RAPID CITY, SD 57701-6021
(605) 399-9565
(605) 399-9584
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 635-2562
(307) 638-2074
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT1466
WYOMING BOARD OF MEDICINE
WY
Enumeration date
12/10/2012
Last updated
07/03/2019
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