Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE JOHN FRITZ
Active Sole ProprietorKYLE JOHN FRITZ is a Occupational Therapy Assistant healthcare provider located in CLEAR LAKE, Wisconsin. NPI 1427623834 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · CLEAR LAKE, WI
Registration Details
- NPI Number
- 1427623834
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2021 (5.2118522508843 yrs)
- Last Updated
- May 26, 2021
- License
-
5779-27 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
734 20TH AVECLEAR LAKE, WI, 540053923Browse WI providers · Browse ZIP 54005
- Phone
- 7156074170
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.