Healthcare Provider Details

I. General information

NPI: 1154716348
Provider Name (Legal Business Name): DARWIN KURTH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2015
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

328 BAYBERRY DR
CROSSVILLE TN
38555-6120
US

IV. Provider business mailing address

328 BAYBERRY DR
CROSSVILLE TN
38555-6120
US

V. Phone/Fax

Practice location:
  • Phone: 971-300-2332
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOT-2026-0049
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number207173
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: