Individual
KYLIE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1133 COLLEGE AVE STE G200, MANHATTAN, KS 66502-2934
(800) 974-4378
(630) 515-1536
Mailing address
24014 W RENWICK RD STE 206, PLAINFIELD, IL 60544-8711
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-04318
KS
Other
Enumeration date
05/12/2026
Last updated
05/15/2026
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