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Kyle H Baxter, DPT

Physical Therapist in St Louis Park, MN. Individual provider (NPI-1).

NPI number1992010425
StatusActive
Last updated in NPPESMar 2, 2016

Details

NPI
1992010425
Entity type
Individual (NPI-1)
Name
Mr. Kyle H Baxter
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Aug 9, 2010
Last updated
Mar 2, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist8907MNYes

Practice location

5775 Wayzata Blvd
St Louis Park, MN 55416-1222

Phone 952-467-6629

Mailing address

5775 Wayzata Blvd
St Louis Park, MN 55416-1222

Phone 952-467-6629

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