Individual
GENE KUNTZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1528 E PRIEN LAKE RD, LAKE CHARLES, LA 70601-8978
(337) 479-2057
Mailing address
1528 E PRIEN LAKE RD, LAKE CHARLES, LA 70601-8978
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4200
LA
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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