Individual
KYLIE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 E 75TH ST STE 206, INDIANAPOLIS, IN 46250-2700
(317) 284-1166
(317) 284-1559
Mailing address
15046 HORSESHOE DR, CARMEL, IN 46033-9073
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005102A
IN
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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