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Kyle Redo, LAT
NPI 1770996514 · on the registry since 2014
Practice
- Address
- 1504 Madison Ave
Fort Atkinson, WI 53538 - Phone
- (920) 563-9357
- Clinicians at this address
- 54
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-06-10
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 Wisconsin