Individual
KYLE MATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
474 W PLAZA DR, COLUMBIA CITY, IN 46725-1019
(260) 244-8009
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015262A
IN
Other
Enumeration date
07/06/2023
Last updated
08/08/2023
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