Kyle Streeter

NPI #1790347086 in Fort Edward, New York

Provider Information

NPI Number: 1790347086
Entity Type: Individual
Name: Kyle Streeter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 8, 2019
Last Updated: Jul 8, 2019

Practice Location

Address: 319 BROADWAY
City: Fort Edward
State: New York
ZIP Code: 12828-1221
Phone: (518) 747-2811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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