Kyle Makuck PT

NPI 1982628541 - Physical Therapist - 225100000X

NPI Details
NPI 1982628541
Gender Male
Enumeration Date 07/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
760 PILGRIM WAY
GREEN BAY WI, 54304-5263, US
Phone (920) 496-4700
Fax (920) 496-4705
Business Location
PO BOX 19070
PREVEA HEALTH
GREEN BAY WI, 54307-9070, US
Phone (920) 496-4700
Fax (920) 496-4705
Toxanomy
Taxonomy Code 225100000X
License State Wisconsin
License Number 9686
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According to our database, Kyle Makuck PT NPI is 1982628541, taxonomy code is 225100000X and license number is 9686, license state is located at Wisconsin. Kyle Makuck PT physically located at 760 Pilgrim Way, Green Bay WI, 54304-5263. NPI Number Kyle Makuck PT has the Individual type.

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1982628541 NPI number is provided on an as is basis without warranty of any kind. 1982628541 is maintained by the National Plan & Provider Enumeration System. The contents of Kyle Makuck PT are for informational purposes only.