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Individual

MR. KYLE RICHARD TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.M.T, M.M.T, M.H.T

Contact information

Practice address
400 N SUNRISE WAY APT 202, PALM SPRINGS, CA 92262-0305
(760) 898-3641
Mailing address
400 N SUNRISE WAY APT 202, PALM SPRINGS, CA 92262-0305
(760) 898-3641

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26687
CA

Other

Enumeration date
09/15/2015
Last updated
09/15/2015
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