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1295572303
KYLE KELLY
BROOMFIELD, CO
NPI
1295572303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0015529)
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
KYLE KELLY PTA
590 BURBANK ST UNIT 205
BROOMFIELD, CO 80020-7171
Phone number: 303-460-0329
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Mailing Address
KYLE KELLY PTA
590 BURBANK ST UNIT 205
BROOMFIELD, CO 80020-7171
Phone number: 303-460-0329
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