Individual
MR. KEVIN CHRISTOPHER BALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
601 W MAPLE AVE, SUITE 505, SPRINGDALE, AR 72764
(479) 872-1305
(479) 872-2437
Mailing address
601 W MAPLE AVE, SUITE 505, SPRINGDALE, AR 72764
(479) 872-1305
(479) 872-2437
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2776
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y078
BLUE CROSS BLUE SHIELD
AR
01
—
PT2776
ARK STATE BOARD OF PHYSIC
AR
Enumeration date
06/19/2006
Last updated
08/19/2008
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