Tim J Kudlock, PT

NPI #1720125438 in Spearfish, South Dakota

Provider Information

NPI Number: 1720125438
Entity Type: Individual
Name: Tim J Kudlock, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jan 31, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 215 E JACKSON BLVD
Address 2: SUITE B
City: Spearfish
State: South Dakota
ZIP Code: 57783-2176
Phone: (605) 722-6880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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