| Doctor Name: | KYLE RONALD NYQUIST |
| NPI Number: | 1790090777 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 8560 |
| Business Practice Address: | 1116 6th Street Howard Lake, MN - 55349 |
| Business Phone Number: | 3205431104 |
| Business Fax Number: | 3205431105 |
| Mailing Address: | 13348 Us Highway 12 Sw, COKATO |
| State: | MN |
| Postal Code: | 553214235 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/13/2010 |
| NPI Last Update Date: | 08/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 8560 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| 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 |