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

KYLE HANSEN

Active Sole Proprietor

KYLE HANSEN is a Physical Therapy Assistant healthcare provider located in STANWOOD, Michigan. NPI 1306334362 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · STANWOOD, MI

Registration Details

NPI Number
1306334362
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2018 (8.3071499919621 yrs)
Last Updated
Apr 25, 2018
Sole Proprietor
Yes

Practice Information

Address
18397 11 MILE RD
STANWOOD, MI, 493469557
Browse MI providers · Browse ZIP 49346
Phone
9893090012
Primary Specialty
Physical Therapy Assistant
225100000X
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.