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Kyle Decker, COTA
NPI 1558657114 · on the registry since 2011 · sole proprietor
Practice
- Address
- 504 E Telegraph St Unit 81
Washington, UT 84780 - Phone
- (210) 284-4622
Registry record
- Primary taxonomy
- 314000000X
314000000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah