Individual
KYLE RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11110 METRIC BLVD STE A, AUSTIN, TX 78758-4097
(512) 201-7926
Mailing address
11110 METRIC BLVD STE A, AUSTIN, TX 78758-4097
(512) 201-7926
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
TX
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
10/04/2023
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