Individual
KYLE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6982 PINE FOREST RD, PENSACOLA, FL 32526-8909
(850) 800-9298
Mailing address
130 CALVERT OAKS DR, PENSACOLA, FL 32514-3815
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28661
FL
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
05/16/2021
Last updated
05/19/2021
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