Individual
KURTIS CLIFTON SPRINGSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
7925 STATE AVE STE 104, KANSAS CITY, KS 66112
(913) 334-9931
(913) 334-9941
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03966
KS
225100000X
Physical Therapist
2014008564
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437383437
BCBS-KS
KS
01
—
42612041
BCBS-KC
—
01
—
KA2868014
MEDICARE PTAN
KS
Enumeration date
05/06/2009
Last updated
05/15/2018
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