Individual
KYLE INGWERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1380 LAKE ST, SPIRIT LAKE, IA 51360-1100
(712) 336-8404
(712) 546-1770
Mailing address
1380 LAKE ST, SPIRIT LAKE, IA 51360-1100
(712) 336-8404
(712) 546-1770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
084118
IA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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