Individual
KYLE EAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5219 W PIERSON RD, FLUSHING, MI 48433-2411
(810) 262-7896
Mailing address
10174 GLENDALE AVE, CLIO, MI 48420-1608
(810) 422-8125
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004674
MI
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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