Kurt M Stork PT

NPI 1780913004 - Physical Therapist - 225100000X

NPI Details
NPI 1780913004
Gender Male
Enumeration Date 12/15/2009
Last Updated 12/29/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
444 FOUR STATES DR
STE 1
GALENA KS, 66379-4325, US
Phone (620) 783-4441
Fax (620) 783-4090
Business Location
PO BOX 2546
JOPLIN MO, 64803-2546, US
Phone (620) 783-4441
Fax (620) 783-4090
Toxanomy
Taxonomy Code 225100000X
License State Kansas
License Number 1104038
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According to our database, Kurt M Stork PT NPI is 1780913004, taxonomy code is 225100000X and license number is 1104038, license state is located at Kansas. Kurt M Stork PT physically located at 444 Four States Dr, Galena KS, 66379-4325. NPI Number Kurt M Stork PT has the Individual type.

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1780913004 NPI number is provided on an as is basis without warranty of any kind. 1780913004 is maintained by the National Plan & Provider Enumeration System. The contents of Kurt M Stork PT are for informational purposes only.