Individual
KYLE STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
601 E WACKERLY ST, MIDLAND, MI 48642-7070
(989) 486-9674
Mailing address
601 E WACKERLY ST, MIDLAND, MI 48642-7070
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501015927
MI
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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