DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEROLD R KUTZKE, PTA

Active Sole Proprietor

JEROLD R KUTZKE, PTA is a Occupational Therapist healthcare provider located in LYNNWOOD, Washington. NPI 1194150433 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · LYNNWOOD, WA

Registration Details

NPI Number
1194150433
Provider Type
Individual
Gender
Male
NPI Issued
Sep 5, 2013 (12.903267296973 yrs)
Last Updated
Sep 5, 2013
License
P160041247 (WA)
Sole Proprietor
Yes

Practice Information

Address
19401 40TH AVE W
SUITE 330
LYNNWOOD, WA, 980364612
Browse WA providers · Browse ZIP 98036
Phone
4256709987
Fax
4257447233
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in LYNNWOOD, WA

Name Credential NPI
JESSICA SUE PATRICK LPTA 1750681359
TONI RUTH PTA 1659649960
PAMELA JEANNE SHEEHAN PTA 1336493576
STACY RICCELLI 1184056566
THERESA JOHNSON 1184056525
STEFANI R RIEBE 1861828204
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.