Kyle Lynn Beres, PT

NPI #1225106495 in Spring Grove, Illinois

Provider Information

NPI Number: 1225106495
Entity Type: Individual
Name: Kyle Lynn Beres, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1906 HOLIAN DRIVE
City: Spring Grove
State: Illinois
ZIP Code: 60081
Phone: (815) 675-0675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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