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1366134967
KYLE SMICKLEY
WOODSTOCK, VA
NPI
1366134967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306605137)
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
KYLE SMICKLEY LPTA
803 S MAIN ST
WOODSTOCK, VA 22664-1125
Phone number: 540-459-5676
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Mailing Address
KYLE SMICKLEY LPTA
62 DEEP CREEK RD
RANSON, WV 25438-4600
Phone number: 571-247-2760
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