Kyle Ryan Fornoff, DPT

NPI #1679910855 in Gothenburg, Nebraska

Provider Information

NPI Number: 1679910855
Entity Type: Individual
Name: Kyle Ryan Fornoff, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: May 29, 2013
Last Updated: Apr 21, 2017

Practice Location

Address: 523 10TH ST
City: Gothenburg
State: Nebraska
ZIP Code: 69138-1925
Phone: (308) 537-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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