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NPI Code Detail

MEDICARE: DANICA HALEY KUTI PT, DPT

MEDICARE:   DANICA HALEY KUTI  PT, DPT
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
1225100000XPhysical TherapistPT027498PA

General Provider Information

NPI Number : 1164987863
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANICA HALEY KUTI PT, DPT
Provider Business Mailing Address
First Line : 61 MAHONEY RD
Second Line :
City : SWEET VALLEY
State : PA
Zip : 18656-2227
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 33 N MAIN ST STE 100
Second Line :
City : PITTSTON
State : PA
Zip : 18640-1949
Country : US
Telephone Number : 570-208-2787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2019
Last Update Date : 02/06/2019

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