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Individual
MARK KULPA
Active
Individual
MARK KULPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
041337165
IL
163WM1400X
Nurse Massage Therapist (NMT)
Primary
28186947A
IN
225700000X
Massage Therapist
227007700
IL
225700000X
Massage Therapist
MT20901677
IN
Other
Enumeration date
11/13/2023
Last updated
09/06/2025
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