Most Relevant Information
Provider Data
| NPI Number: | 1003647579 |
| Provider Name: | KYLEY ROSE |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 15671 |
Most Important Dates
| Enumeration Date: | 08/08/2024 |
| Last Updated: | 08/08/2024 |
Provider Practice Location
3575 KEITH ST NW STE 205
CLEVELAND
TN
373124326
Practice Location Phone/Fax
| Phone: | 4235590444 |
| Fax: |
Provider Mailing Location
1200 CORPORATE DR STE 400
HOOVER
AL
352425424
Provider Mailing Phone/Fax
| Phone: | 4239331260 |
| Fax: |