Kyle Taketa, DC

NPI #1205180619 in San Mateo, California

Provider Information

NPI Number: 1205180619
Entity Type: Individual
Name: Kyle Taketa, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Nov 7, 2012
Last Updated: Nov 7, 2012

Practice Location

Address: 190 W 25TH AVE
Address 2: #4
City: San Mateo
State: California
ZIP Code: 94403-2298
Phone: (650) 349-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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