Individual
KYLLE COLQUHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7065 AIRWAYS BLVD STE 110, SOUTHAVEN, MS 38671-5874
(662) 349-8997
Mailing address
7065 AIRWAYS BLVD STE 110, SOUTHAVEN, MS 38671-5874
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12205
TN
225100000X
Physical Therapist
Primary
—
MS
Other
Enumeration date
08/22/2019
Last updated
01/28/2021
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