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

DR. KYLE T FENNEMORE, DPT, CSCS

Active

Physical Therapy Assistant · BEAR, DE

Registration Details

NPI Number
1437334547
Provider Type
Individual
Gender
Male
NPI Issued
Jan 8, 2008 (18.326386906442 yrs)
Last Updated
Jun 13, 2012
Licenses
JT0000684 (DE)
J1-0002306 (DE)

Practice Information

Address
100 BECKS WOODS DR
SUITE 101
BEAR, DE, 197013835
Browse DE providers · Browse ZIP 19701
Phone
3023923400
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in BEAR, DE

Name Credential NPI
MS. KATHLEEN IFFLAND PT 1699756130
MS. REBECCA SUSAN TINSMAN PT, OCS 1336120781
MARYANNE DEPUTRON MSPT 1629021464
MR. CHRISTOPHER AARON GOETZ PT 1164460341
SARAH T PRICE PT 1346289006
TRACY LYNN WIEBKING PT 1952458275
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.