Individual
KYLE MERRIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1001 SW EMKAY DR STE 100, BEND, OR 97702-3663
(541) 385-3344
(541) 385-3344
Mailing address
1001 SW EMKAY DR STE 100, BEND, OR 97702-3663
(541) 385-3344
(541) 385-3344
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62285
OR
2251X0800X
Orthopedic Physical Therapist
62285
OR
Other
Enumeration date
06/27/2017
Last updated
05/22/2023
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