GREGORY KYLE HERRENBRUCK

SHAWNEE, KS
NPI1770844029
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2012-06-04
Last Update Date2012-06-04
Business Address
GREGORY KYLE HERRENBRUCK
6620 BALLENTINE ST
SHAWNEE, KS 66203-3824
Phone number: 913-484-0790
Mailing Address
GREGORY KYLE HERRENBRUCK
6620 BALLENTINE ST
SHAWNEE, KS 66203-3824
Phone number: 913-484-0790
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