Individual
KYLE WESTERGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8817 WORNALL RD, KANSAS CITY, MO 64114-2922
(816) 349-3613
Mailing address
8951 E 60TH ST, RAYTOWN, MO 64133-3710
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2000143922
MO
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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