Individual
KYLIE MOSSOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2761 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 623-4500
Mailing address
2233 ACADEMY PL STE 200, COLORADO SPRINGS, CO 80909-1666
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0015090
CO
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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