Individual
KYLE HARBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1010 N 102ND ST STE 300, OMAHA, NE 68114-2122
(402) 891-1118
Mailing address
7943 S COUNTY ROAD 350 W, STILESVILLE, IN 46180-9455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015707A
IN
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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