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Individual

JEFFREY ALLEN KAUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT,ATC,CSCS

Contact information

Practice address
3724 E 120TH AVE, THORNTON, CO 80233-1656
(303) 457-2022
(303) 457-2320
Mailing address
3724 E 120TH AVE, THORNTON, CO 80233-1656
(303) 457-2022
(303) 457-2320

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9217
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
26589524
CO
Enumeration date
04/11/2007
Last updated
01/22/2008
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