Individual
KYLE A WILLETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
180 WESTBROOK RD, #3, ESSEX, CT 06426-1517
(860) 767-7587
(860) 767-3418
Mailing address
5350 MANHATTAN CIR 100, BOULDER, CO 80303-4272
(303) 543-1201
(303) 543-1206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009429
CT
Other
Enumeration date
12/05/2012
Last updated
10/15/2015
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