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Kylan Wilson, CERTIFIEDPEDORTHIST
Orthotist in San Angelo, Texas
NPI 1174934186

Kylan Wilson is a Orthotist based in San Angelo, TX. Kylan Wilson practices in San Angelo, TX and has the professional credentials of CERTIFIEDPEDORTHIST. The NPI Number for Kylan Wilson is 1174934186 and holds a License No. 4075 (Texas).

The current practice location address for Kylan Wilson is 110 E Twohig Ave, San Angelo, TX and can be reached out via phone at 325-658-1511 and via fax at 325-481-2166.

Location: 110 E Twohig Ave, San Angelo, TX, 76902-7200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174934186
Provider Name
Kylan Wilson
Credential
CERTIFIEDPEDORTHIST
Provider Entity Type
Individual
Gender
Male
Address
110 E Twohig Ave, San Angelo, TX, 76902-7200
Phone Number
325-658-1511
Fax Number
325-481-2166
Provider Enumeration Date
05/13/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CPED4075 01 TX CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
110 E Twohig Ave
City
San Angelo
State
Texas
Zip
76903-5916
Phone Number
325-658-1511
Fax Number
325-481-2166
person
Provider Business Mailing Address Details
Address
110 E Twohig Ave
City
San Angelo
State
Texas
Zip
76903-5916
Phone Number
325-658-1511
Fax Number
325-481-2166
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
4075 (Texas)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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