Organization
DOVE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE VANDE HEI DPT (PHYSICAL THERAPIST)
(920) 606-8065
Entity
Organization
Contact information
Practice address
1405 TRUAX BLVD, EAU CLAIRE, WI 54703-1474
(714) 552-1030
Mailing address
1405 TRUAX BLVD, EAU CLAIRE, WI 54703-1474
(714) 552-1030
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1215936430
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20178200
—
WI
Enumeration date
12/03/2014
Last updated
12/03/2014
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