NPI 1083437818

Kyle Stewart, PTA

Practitioner Physical Therapy Assistant Portage, IN

Practice location

Address: 3691 Willowcreek Rd STE 100, Portage, IN 46368-5000
Phone: (219) 759-4380
Fax: (219) 759-1989
Mailing address: 1503 Ohio St, La Porte, IN 46350-4443

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 06006779A (IN)

Other Physical Therapy Assistant providers in Indiana →

Registry record

NPI: 1083437818
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Oct 2024
Record last updated: 31 Oct 2024

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.