Provider Demographics
NPI:1932701224
Name:KYLE HARTMAN PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:KYLE HARTMAN PHYSICAL THERAPY, INC.
Other - Org Name:MONTEREY PELVIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:831-264-7286
Mailing Address - Street 1:1077 CASS ST STE A
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4551
Mailing Address - Country:US
Mailing Address - Phone:831-264-7286
Mailing Address - Fax:
Practice Address - Street 1:1077 CASS ST STE A
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4551
Practice Address - Country:US
Practice Address - Phone:831-264-7286
Practice Address - Fax:831-201-0027
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KYLE HARTMAN PHYSICAL THERAPY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-11
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy