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Individual

MRS. CHRISTINA LYNN KULLMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
709 W MAIN ST, MANCHESTER, IA 52057-1526
(563) 927-7322
(563) 927-7518
Mailing address
709 W MAIN ST, PO BOX 359, MANCHESTER, IA 52057-1526
(563) 927-7322
(563) 927-7518

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1149580
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
056736
VALLEY HEALTH PLANS
TX
01
116296
CHIPS
TX
05
160360701
TX
01
177978600
ACS DEPT OF LABOR
TX
01
8T1216
BLUE CROSS BLUE SHIELD
TX
01
A005
TRICARE
TX
01
P00047981
MEDICARE RAILROAD
TX
Enumeration date
09/28/2006
Last updated
07/12/2016
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