Individual
KYLE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
428 MINNESOTA ST STE 500, SAINT PAUL, MN 55101-2666
(866) 839-6979
Mailing address
PO BOX 2350, ROCKLIN, CA 95677-8350
(866) 839-6979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10753
MN
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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