Individual provider · Type 1 NPI

Kylan Wilson, CERTIFIED PEDORTHIST

Orthotist · San Angelo, TX

NPI number 1174934186 Active

Practice location

110 E Twohig Ave
San Angelo, TX 76903-5916

Fax (325) 481-2166

Mailing address

PO Box 22000
San Angelo, TX 76902-7200

Specialties and licenses

TaxonomyCodeLicense
Orthotist Primary 222Z00000X4075 (TX)

Orthotist: 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 th…

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About NPI 1174934186

Kylan Wilson, CERTIFIED PEDORTHIST's National Provider Identifier is 1174934186, issued on May 13, 2014. The primary taxonomy on file is Orthotist (222Z00000X), and the practice location is in San Angelo, TX. The record was last updated on May 13, 2014.