| Doctor Name: | MR. KYLE ALDEN CLONTZ |
| NPI Number: | 1366526915 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT |
| License Number: | 2221 |
| Business Practice Address: | 4132 Hickory Blvd Granite Falls, NC - 286308371 |
| Business Phone Number: | 8283963168 |
| Business Fax Number: | 8287288317 |
| Mailing Address: | 4756 Sawmills School Rd, GRANITE FALLS |
| State: | NC |
| Postal Code: | 286309466 |
| Phone Number: | 8283961824 |
| Fax Number: | 8287285996 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 08/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2221 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| 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 |