Individual
KYLE ASHWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 BEACON ST, BROOKLINE, MA 02446-2270
(617) 505-6742
Mailing address
600 TRAPELO RD APT 9, WALTHAM, MA 02452-7996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25581
MA
Other
Enumeration date
08/19/2021
Last updated
08/05/2024
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