Individual
KYLE VER BURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2642
SD
225100000X
Physical Therapist
PT5914
NM
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
10/06/2016
Last updated
12/22/2023
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