Kyle Jenkins, PTA

NPI #1992263792 in Springfield, Illinois

Provider Information

NPI Number: 1992263792
Entity Type: Individual
Name: Kyle Jenkins, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PTA
Enumeration Date: Mar 11, 2019
Last Updated: Mar 11, 2019

Practice Location

Address: 112 CALVIN AVE
City: Springfield
State: Illinois
ZIP Code: 62704-6112
Phone: (217) 652-2830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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