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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KYLE STEPHEN BRABAW, PT, DPT

Active

DR. KYLE STEPHEN BRABAW, PT, DPT is a Physical Therapy Assistant healthcare provider located in FORT POLK, Louisiana. NPI 1003304080 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FORT POLK, LA

Registration Details

NPI Number
1003304080
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2018 (8.286563968618 yrs)
Last Updated
Apr 5, 2022
Licenses
2305211419 (VA)
5501018291 (MI)
294643 (CA)

Practice Information

Address
1585 THIRD STREET
FORT POLK, LA, 714595536
Browse LA providers · Browse ZIP 71459
Phone
3375313203
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in FORT POLK, LA

Name Credential NPI
DR. RONALD KANE MCANDREW DPT 1427134857
MARIN S EASTER 1124236575
MRS. TIANA M PION PT 1588999387
MR. RICKY WARREN DPT 1861779886
KARIN H CHOE D.P.T, M.S., A.T.C 1275800617
BRITTNI LYNN CACCIABAUDO PT 1306358163
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.