Kyle Lee Decker, COTA
NPI #1558657114 in Washington, Utah
Provider Information
- NPI Number
- 1558657114
- Entity Type
- Individual
- Name
- Kyle Lee Decker, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Skilled Nursing Facility
- Credential
- COTA
- Enumeration Date
- Jun 22, 2011
- Last Updated
- Jun 22, 2011
Practice Location
- Address
- 504 E TELEGRAPH ST UNIT 81
- City
- Washington
- State
- Utah
- ZIP Code
- 84780-8851
- Phone
- (210) 284-4622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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