Kevin Wild, DPT

NPI 1710431424 · on the registry since 2016 · sole proprietor

Practice

Address: 88 Rowland Way Ste 250
Novato, CA 94945
Phone: (415) 898-1311
Fax: (415) 897-0741
Organisation at this address: Sport & Spine Therapy Of Marin Inc
Hanger Prosthetics & Orthotics West, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-08-10

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 California