Kyle Ronald Nyquist DPT

NPI 1790090777 - Physical Therapist - 225100000X

NPI Details
NPI 1790090777
Gender Male
Enumeration Date 08/13/2010
Last Updated 08/13/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1116 6TH STREET
HOWARD LAKE MN, 55349, US
Phone (320) 543-1104
Fax (320) 543-1105
Business Location
13348 US HIGHWAY 12 SW
COKATO MN, 55321-4235, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Minnesota
License Number 8560
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According to our database, Kyle Ronald Nyquist DPT NPI is 1790090777, taxonomy code is 225100000X and license number is 8560, license state is located at Minnesota. Kyle Ronald Nyquist DPT physically located at 1116 6th Street, Howard Lake MN, 55349. NPI Number Kyle Ronald Nyquist DPT has the Individual type.

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1790090777 NPI number is provided on an as is basis without warranty of any kind. 1790090777 is maintained by the National Plan & Provider Enumeration System. The contents of Kyle Ronald Nyquist DPT are for informational purposes only.