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NPI Code Detail

MEDICARE: DR. KYLE MATTHEW VOLKERT DPT

MEDICARE: DR. KYLE MATTHEW VOLKERT 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 Therapist10187CO
2225100000XPhysical Therapist070016031IL

General Provider Information

NPI Number : 1770728867
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLE MATTHEW VOLKERT DPT
Provider Business Mailing Address
First Line : 2322 S ACADEMY BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-2406
Country : US
Telephone Number : 719-390-1727
Fax Number :
Provider Business Practice Location Address
First Line : 2322 S ACADEMY BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-2406
Country : US
Telephone Number : 719-390-1727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2008
Last Update Date : 12/03/2008

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