Individual
KURT D OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
407 3RD AVE SE, GARRISON, ND 58540-0039
(701) 463-2275
(701) 463-6569
Mailing address
PO BOX 39, GARRISON, ND 58540-0039
(701) 463-2275
(701) 463-6569
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1002
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23679
BC BS OF ND
ND
Enumeration date
05/23/2007
Last updated
07/08/2007
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