NPI 1548585979

Kyler Ray Pettry

Practitioner Mechanotherapist Gainesville, FL

Practice location

Address: 3800c SW 17th Ave, Gainesville, FL 32607-4120
Phone: (352) 278-3625

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA58698 (FL)

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Registry record

NPI: 1548585979
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2010
Record last updated: 29 Mar 2010

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.