Individual
KYLE WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
9332 N 95TH WAY STE 104, SCOTTSDALE, AZ 85258-5536
(317) 945-7653
Mailing address
4630 S LAKESHORE DR, APT 182, TEMPE, AZ 85282-7164
(317) 945-7653
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1147
AZ
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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