Individual
KYLE MESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1000
Mailing address
6727 BLUFFRIDGE PKWY, INDIANAPOLIS, IN 46278-1857
(317) 908-0001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007883A
IN
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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