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NPI Code Detail

MEDICARE: RYAN JACOB KIEHL DPT

MEDICARE: RYAN JACOB KIEHL 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 TherapistPTL.0018654CO

General Provider Information

NPI Number : 1932818945
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN JACOB KIEHL DPT
Provider Business Mailing Address
First Line : PO BOX 5718
Second Line :
City : KALISPELL
State : MT
Zip : 59903-5718
Country : US
Telephone Number : 406-756-0134
Fax Number : 406-309-2579
Provider Business Practice Location Address
First Line : 5980 STETSON HILLS BLVD STE 100
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80923-3633
Country : US
Telephone Number : 719-574-3111
Fax Number : 719-574-2912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2022
Last Update Date : 11/17/2022

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Directions to “ RYAN JACOB KIEHL DPT” Practice Location

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