Individual
COREY MATTHEW KUNZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, LAT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
009799
CT
225100000X
Physical Therapist
Primary
9562
MN
2251S0007X
Sports Physical Therapist
10590-024
WI
2255A2300X
Athletic Trainer
783-039
WI
Other
Enumeration date
02/14/2007
Last updated
08/11/2020
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