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KYLAN WILSON CERTIFIED PEDORTHIST
NPI 1174934186
Orthotist in San Angelo, TX

Active since May 13, 2014
110 E TWOHIG AVE, SAN ANGELO, TX 76903(325) 658-1511(325) 481-2166 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kylan Wilson Certified Pedorthist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLAN WILSON CERTIFIED PEDORTHIST (NPI 1174934186) is an individual orthotist provider in San Angelo, Texas, licensed in Texas (4075) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1174934186
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameKYLAN WILSONCredential: CERTIFIED PEDORTHIST
Location Address110 E TWOHIG AVESan Angelo, TX 76903-5916
Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 658-1511 · Fax (325) 481-2166
Phone(325) 658-1511
Fax(325) 481-2166
Sole ProprietorNo
Enumeration DateMay 13, 2014
✔ NPI 1174934186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
License✔ Licensed in TX · 4075
Definition
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 the treatment plan and provide follow-up care.
110 E TWOHIG AVE, San Angelo, TX 76903
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Other Identifiers 2

OtherCPED4075TX · Certification
Medicare PIN00T83ZTX

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON CLINIC
Prosthetic/Orthotic Supplier
110 E TWOHIG AVE
SAN ANGELO, TX 76903
Tom Green County (325) 653-9235
SHANNON CLINIC
Prosthetic/Orthotic Supplier
110 E TWOHIG AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
MRS. JANICE M MORRIS CO
Orthotist
110 E TWOHIG AVE
SAN ANGELO, TX 76903
Tom Green County (325) 653-9235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kylan Wilson's NPI number?

The NPI number for Kylan Wilson is 1174934186. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Kylan Wilson located?

Kylan Wilson practices at 110 E Twohig Ave, San Angelo, TX 76903. The listed phone number is (325) 658-1511.

What is Kylan Wilson's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

When was this NPI record last updated?

The NPPES record for Kylan Wilson was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.