Individual
KYLE RICHWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
2384 FOUR SEASONS PKWY, CROWN POINT, IN 46307-9342
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005226A
IN
Other
Enumeration date
04/07/2019
Last updated
04/07/2019
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