Healthcare Provider Details

I. General information

NPI: 1518124577
Provider Name (Legal Business Name): ROBERT KUZMESKI ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 05/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 COMMONWEALTH AVE 9 BOYDEN BUILDING
AMHERST MA
01003-9253
US

IV. Provider business mailing address

131 COMMONWEALTH AVE. 9 BOYDEN BUILDING
AMHERST MA
01003
US

V. Phone/Fax

Practice location:
  • Phone: 413-545-2750
  • Fax: 413-545-3150
Mailing address:
  • Phone: 413-545-2750
  • Fax: 413-545-3150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number544
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: