Individual
BARRY DEAN KURTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3081 S GRIMES CREEK AVE, MERIDIAN, ID 83642-9125
(208) 288-2264
Mailing address
82 E STATE ST, SUITE E, EAGLE, ID 83616-6047
(208) 440-8648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-2165
ID
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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