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NPI Code Detail

MEDICARE: TAYLER J KURTZMAN MASSAGE THERAPIST

MEDICARE:   TAYLER J KURTZMAN  MASSAGE THERAPIST
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
1225700000XMassage TherapistMA60791049WA

General Provider Information

NPI Number : 1649789256
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLER J KURTZMAN MASSAGE THERAPIST
Provider Business Mailing Address
First Line : 3250 15TH AVE W APT A7
Second Line :
City : SEATTLE
State : WA
Zip : 98119-1751
Country : US
Telephone Number : 636-346-0070
Fax Number :
Provider Business Practice Location Address
First Line : 3250 15TH AVE W APT A7
Second Line :
City : SEATTLE
State : WA
Zip : 98119-1751
Country : US
Telephone Number : 636-346-0070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2017
Last Update Date : 09/26/2017

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Directions to “ TAYLER J KURTZMAN MASSAGE THERAPIST” Practice Location

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