IndividualActive
Kyle Roberts, C. PED.
NPI 1508032384 · Orthotic Fitter · Wales, WI
Provider details
- NPI number
- 1508032384
- Entity type
- Individual
- Primary specialty
- Orthotic FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- C. PED.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
W314s2556 Penny Ln
Wales, WI 53183-9671
Phone: (262) 968-3643
Approximate (ZIP-level) locationGet directions
Mailing address
W314s2556 Penny Ln
Wales, WI 53183-9671
Registry dates
- Enumerated
- 2008-05-01
- Last updated
- 2008-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.