Provider Demographics
NPI:1396192266
Name:MARCHAND, KYLE (DPT)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:
Last Name:MARCHAND
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7401 W HIGHWAY 71
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-8260
Mailing Address - Country:US
Mailing Address - Phone:512-288-2700
Mailing Address - Fax:512-288-2711
Practice Address - Street 1:7401 W HIGHWAY 71
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-8260
Practice Address - Country:US
Practice Address - Phone:512-288-2700
Practice Address - Fax:512-288-2711
Is Sole Proprietor?:No
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1275211225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1275211OtherTEXAS BOARD OF PHYSICAL THERAPY EXAMINERS