Individual
KYLE BANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1265 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4004
(330) 758-9400
(330) 726-8676
Mailing address
1265 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4004
(330) 758-9400
(330) 726-8676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015115
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2577162
—
OH
Enumeration date
11/20/2014
Last updated
08/03/2021
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