| NPI | 1396483939 |
|---|---|
| Former Name | KYLIE BEHRENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 112595) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2023-07-20 |