Doctor Name: | KYLE MURISON |
NPI Number: | 1295144376 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 12724-24 |
Business Practice Address: | 230 N Walworth Ave Unit 4 Williams Bay, WI - 531919201 |
Business Phone Number: | 4146148778 |
Business Fax Number: | |
Mailing Address: | Po Box 610, SILVER LAKE |
State: | WI |
Postal Code: | 531700610 |
Phone Number: | 4146148778 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2014 |
NPI Last Update Date: | 04/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 12724-24 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |