Individual
MR. LYLE DAVID MCKISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3801 E FLORIDA AVE, SUITE 330, DENVER, CO 80210-2571
(303) 370-2670
(303) 370-2696
Mailing address
3801 E FLORIDA AVE., SUITE 330, DENVER, CO 80210
(303) 370-2670
(303) 370-2696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0012179
CO
Other
Enumeration date
06/14/2013
Last updated
10/17/2014
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