Individual
DR. KINSHOO TYAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8665
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8665
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 37316
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053305
—
CA
Enumeration date
01/19/2012
Last updated
04/30/2018
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