Individual
KYLIE BOLLWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1839 E INDEPENDENCE ST STE R, SPRINGFIELD, MO 65804-3753
(316) 260-3311
Mailing address
12627 E CENTRAL AVE STE 308, WICHITA, KS 67206-2839
(316) 260-3311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2022028646
MO
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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