Kyle Rootsaert

NPI 1720416035 · on the registry since 2013 · sole proprietor

Practice

Address: 1906 Vista Del Lago Dr Ste G
Valley Springs, CA 95252
Phone: (209) 920-3299
Organisation at this address: M A C T Health Board Incorporated
M A C T Health Board, Incorporated
Behavior Learning And Development Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-10-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California