Individual
KYLA HALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 LANDING LN, SIMPSONVILLE, SC 29681-6520
(530) 604-6424
Mailing address
2 LANDING LN, SIMPSONVILLE, SC 29681-6520
(530) 604-6424
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
03/28/2014
Last updated
08/23/2021
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