Individual
MR. KYLE TASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
3100 E 22ND ST, MINNEAPOLIS, MN 55406-4235
(920) 948-2674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11150
MN
225100000X
Physical Therapist
Primary
14343-24
WI
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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