Individual
DR. KYLE JAMES VAN BENSCHOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6980 MESA RIDGE PKWY, FOUNTAIN, CO 80817-1563
(171) 939-1004
Mailing address
6980 MESA RIDGE PKWY, FOUNTAIN, CO 80817-1563
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
017915
CO
225100000X
Physical Therapist
34383
FL
225100000X
Physical Therapist
Primary
PT34383
FL
Other
Enumeration date
05/15/2019
Last updated
12/18/2021
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