Kyle Shively
NPI #1710848734 in Fox River Grove, Illinois
Provider Information
- NPI Number
- 1710848734
- Entity Type
- Individual
- Name
- Kyle Shively
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Nov 19, 2025
- Last Updated
- Nov 19, 2025
Practice Location
- Address
- 1009 HIGHWAY 22 STE 1
- City
- Fox River Grove
- State
- Illinois
- ZIP Code
- 60021-1998
- Phone
- (847) 462-8707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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