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NPI Code Detail

MEDICARE: STEPHANIE JEAN KURT

MEDICARE: STEPHANIE JEAN KURT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant004992IA

General Provider Information

NPI Number : 1265914550
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE JEAN KURT
Provider Business Mailing Address
First Line : 1610 3RD ST NE
Second Line :
City : INDEPENDENCE
State : IA
Zip : 50644-2228
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1610 3RD ST NE
Second Line :
City : INDEPENDENCE
State : IA
Zip : 50644-2228
Country : US
Telephone Number : 319-334-7015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2018
Last Update Date : 09/03/2018

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Directions to “ STEPHANIE JEAN KURT ” Practice Location

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