Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 10292 | OH |
NPI | 1134326051 |
---|---|
Provider Name | Kyle Thomas Schumm |
First Address | Powell, OH 43065-7464 |
Second Address | Columbus, OH 43214-3450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 08/07/2007 |