Individual
KEZZY BURTH-HUTCHINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 2ND AVE W, WILLISTON, ND 58801-4108
(701) 572-6766
Mailing address
1515 2ND AVE W, WILLISTON, ND 58801-4108
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1095
ND
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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