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Individual

DR. KYLE MICHAEL LEIF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1000 N MILLER ST, WENATCHEE, WA 98801-1512
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10977
NC
225100000X
Physical Therapist
Primary
PT60162661
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3400047
NC
Enumeration date
08/28/2007
Last updated
09/03/2013
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