Most Relevant Information
Provider Data
NPI Number: | 1003379322 |
Provider Name: | KYLE RHODES LAC. EAMP |
Entity Type: | Individual |
Taxonomy Code: | 171100000X |
Specialty: | Acupuncturist |
License Number: | AC60945409 |
Most Important Dates
Enumeration Date: | 04/12/2019 |
Last Updated: | 04/12/2019 |
Provider Practice Location
120 E BIRCH ST STE 2
WALLA WALLA
WA
993623054
Practice Location Phone/Fax
Phone: | 5095207993 |
Fax: |
Provider Mailing Location
1016 GRANDVIEW AVE
COLLEGE PLACE
WA
993241443
Provider Mailing Phone/Fax
Phone: | |
Fax: |