NPI 1013565068

Kyle James Walenta, PTDPT

Practitioner Physical Therapist Nashville, TN

Practice location

Address: 315 14th Ave N, Nashville, TN 37203-3416
Phone: (615) 321-5698
Fax: (615) 321-5538
Mailing address: 45 Vantage Way APT 2429, Nashville, TN 37228-1641

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 12414 (TN)

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Registry record

NPI: 1013565068
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Sep 2019
Record last updated: 3 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.