Barry Dean Kurtz

NPI #1053716134 in Meridian, Idaho

Provider Information

NPI Number: 1053716134
Entity Type: Individual
Name: Barry Dean Kurtz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Oct 31, 2014
Last Updated: Oct 31, 2014

Practice Location

Address: 3081 S GRIMES CREEK AVE
City: Meridian
State: Idaho
ZIP Code: 83642-9125
Phone: (208) 288-2264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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