Individual
KYLE HENNINGSGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1880 POTTERY AVE STE 100, PORT ORCHARD, WA 98366-2518
(360) 895-9090
Mailing address
2400 NW MYHRE RD STE 101, SILVERDALE, WA 98383-7672
(360) 598-3764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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