Healthcare Provider Details

I. General information

NPI: 1023929908
Provider Name (Legal Business Name): KC CORPORATION PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 JOHANNES AVE
BIG SANDY MT
59520
US

IV. Provider business mailing address

PO BOX 1246
BIG SANDY MT
59520-1246
US

V. Phone/Fax

Practice location:
  • Phone: 406-378-2655
  • Fax:
Mailing address:
  • Phone: 406-378-2655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: KURTIS LEE STRUTZ
Title or Position: OWNER
Credential: MPT
Phone: 406-378-2655