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NPI 1508839713

NPI 1508839713 : KYLE KNUTSON MPT : DRIPPING SPRINGS, TX

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General NPI Number Information
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    NPI Number           |    1508839713
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    Entity Type          |    Individual 
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    Provider Name        |    KYLE KNUTSON MPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/08/2006
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    Last Update Date     |    01/19/2026
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Provider Practice Location Address
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    Address Line         |    249 SPORTSPLEX DR STE 208 
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    City                 |    DRIPPING SPRINGS
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    State                |    TX
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    Zip                  |    78620-2350
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    Country              |    US
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    Telephone            |    512-650-4481
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    Fax                  |    512-650-4482
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Provider Business Mailing Address
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    Address Line         |    249 SPORTSPLEX DR STE 208 
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    City                 |    DRIPPING SPRINGS
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    State                |    TX
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    Zip                  |    78620-2350
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    Country              |    US
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    Telephone            |    512-650-4481
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    Fax                  |    512-650-4482
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1135655
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    License Number State |    TX
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