Individual
KYLE YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
814 S PERRY ST STE D, CASTLE ROCK, CO 80104-1942
(303) 814-2865
Mailing address
8925 LADY MADONNA CIR UNIT 305, HIGHLANDS RANCH, CO 80129-2889
(317) 407-0862
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT36176
FL
225100000X
Physical Therapist
Primary
PTL0017362
CO
Other
Enumeration date
08/13/2020
Last updated
11/09/2020
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