Healthcare Provider Details

I. General information

NPI: 1992552996
Provider Name (Legal Business Name): KYLER HUFFERT DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2024
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1803 E CHEYENNE MOUNTAIN BLVD
COLORADO SPRINGS CO
80906-4027
US

IV. Provider business mailing address

4664 ASHER HTS APT 302
COLORADO SPRINGS CO
80917-6407
US

V. Phone/Fax

Practice location:
  • Phone: 719-527-0848
  • Fax: 719-471-4415
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: