Healthcare Provider Details

I. General information

NPI: 1447081997
Provider Name (Legal Business Name): KYLEE DILLON PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2024
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 COTTONWOOD ST
WARSAW MO
65355-3414
US

IV. Provider business mailing address

18613 HIGHWAY B
GREEN RIDGE MO
65332-2718
US

V. Phone/Fax

Practice location:
  • Phone: 660-428-1146
  • Fax:
Mailing address:
  • Phone: 660-233-9293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: