Individual
DR. KURT OTTO BUCHHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, ATC
Contact information
Practice address
245 PHYSICAL EDUCATION BUILDING, WAMS DEPT, CHENEY, WA 99004
(978) 866-6086
Mailing address
4503 E 22ND AVE, SPOKANE, WA 99223-5504
(978) 866-6086
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A161116183
WA
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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