KYLE WYATT

RUSSELLVILLE, AR
NPI1164843736
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA2764)
Enumeration Date2013-12-26
Last Update Date2013-12-26
Business Address
-- KYLE WYATT PTA
306 E 11TH ST
RUSSELLVILLE, AR 72801-6156
Phone number: 479-968-1198
Mailing Address
-- KYLE WYATT PTA
500 E 3RD ST
RUSSELLVILLE, AR 72801-5204
Phone number: 479-968-1198
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