KYLE MAKUCK

GREEN BAY, WI
NPI1982628541
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  9686)
Enumeration Date2006-07-27
Last Update Date2007-07-08
Business Address
-- KYLE MAKUCK PT
760 PILGRIM WAY
GREEN BAY, WI 54304-5263
Phone number: 920-496-4700
Mailing Address
-- KYLE MAKUCK PT
PO BOX 19070 PREVEA HEALTH
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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