Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE LEE DECKER, COTA
Active Sole ProprietorKYLE LEE DECKER, COTA is a Skilled Nursing Facility healthcare provider located in WASHINGTON, Utah. NPI 1558657114 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · WASHINGTON, UT
Registration Details
- NPI Number
- 1558657114
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2011 (15.115014032487 yrs)
- Last Updated
- Jun 22, 2011
- License
-
0131000877 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
504 E TELEGRAPH ST UNIT 81WASHINGTON, UT, 847808851Browse UT providers · Browse ZIP 84780
- Phone
- 2102844622
- Primary Specialty
-
Skilled Nursing Facility
314000000X
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.