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NPI Code Detail

MEDICARE: DR. KYLE G HERSHBERGER DPT

MEDICARE: DR. KYLE G HERSHBERGER DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistCP049426TNC
2225100000XPhysical Therapist13265TN

General Provider Information

NPI Number : 1225627995
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLE G HERSHBERGER DPT
Provider Business Mailing Address
First Line : 408 HIGUERA ST STE 200
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-6135
Country : US
Telephone Number : 805-788-0805
Fax Number : 805-788-0845
Provider Business Practice Location Address
First Line : 1572 SAND HILL RD STE 101
Second Line :
City : CANDLER
State : NC
Zip : 28715-0470
Country : US
Telephone Number : 828-552-5342
Fax Number : 828-641-9303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2021
Last Update Date : 06/01/2026

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Directions to “ DR. KYLE G HERSHBERGER DPT” Practice Location

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