Individual
KYLE DOUGLAS HOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
4830 HIGHWAY 260 STE 105, LAKESIDE, AZ 85929-5851
(928) 532-1221
Mailing address
185 SAVAGE LANE, SNOWFLAKE, AZ 85937
(208) 241-4258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT32345
AZ
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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