Individual
MRS. AMY JEAN KUTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1807 W MOLINE ST, MALVERN, AR 72104-2645
(501) 337-2731
Mailing address
135 CATHERINE COVE LOOP, MALVERN, AR 72104-8363
(501) 337-2731
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1303
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139280721
—
AR
Enumeration date
04/21/2006
Last updated
09/13/2011
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