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Individual

KYLE CHARLES ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
15 S 1000 E STE 25, PAYSON, UT 84651-5595
(801) 465-5610
(801) 465-5615
Mailing address
380 E 400 S, SPRINGVILLE, UT 84663-1958
(801) 489-5669
(801) 489-5783

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8876910-2401
UT

Other

Enumeration date
02/13/2014
Last updated
04/27/2016
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