Healthcare Provider Details

I. General information

NPI: 1760390900
Provider Name (Legal Business Name): KATE L KUTZ LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 6TH AVE S
CLINTON IA
52732-4305
US

IV. Provider business mailing address

1235 4TH AVE N
CLINTON IA
52732-4848
US

V. Phone/Fax

Practice location:
  • Phone: 815-858-5533
  • Fax:
Mailing address:
  • Phone: 815-858-5533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number079792
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: