Kyle Kirst, OTR

NPI #1790248326 in Glendale, Wisconsin

Provider Information

NPI Number: 1790248326
Entity Type: Individual
Name: Kyle Kirst, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Apr 10, 2019
Last Updated: Apr 10, 2019

Practice Location

Address: 377 W RIVER WOODS PKWY
City: Glendale
State: Wisconsin
ZIP Code: 53212-1088
Phone: (414) 964-4777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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