Individual
KYLE VANDE HEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1309 STOUT RD, MENOMONIE, WI 54751-2959
(715) 233-6230
Mailing address
1309 STOUT RD, MENOMONIE, WI 54751-2959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12867-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912304148
—
WI
Enumeration date
12/03/2014
Last updated
10/27/2022
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