Individual
JUSTIN TYLER KUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4380 S MONACO ST, UNIT 5044, DENVER, CO 80237-3490
(970) 580-3373
Mailing address
4380 S MONACO ST, UNIT 5044, DENVER, CO 80237-3490
(970) 580-3373
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12813
CO
225200000X
Physical Therapy Assistant
14-02337
KS
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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