Individual
KIM KUTZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2302 N BOGUS BASIN RD, BOISE, ID 83702-0902
(208) 344-0737
(208) 344-0759
Mailing address
11215 BODLEY DR, BOISE, ID 83709-7740
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2817
ID
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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