Individual
KYLE AVERYT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2259 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442-1106
(954) 725-4160
Mailing address
901 N F ST APT 16, LAKE WORTH, FL 33460-2479
(772) 579-8066
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27431
FL
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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