Individual
MATTHEW EDWARD KURZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
790 LAKE ST, BRISTOL, NH 03222-4548
(603) 744-0275
(603) 744-2138
Mailing address
790 LAKE ST, BRISTOL, NH 03222-4548
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PTL.0015120
CO
225100000X
Physical Therapist
Primary
4455
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4455
PT LICENSE
NH
01
—
PTL.0015120
PT LICENSE
CO
Enumeration date
08/10/2017
Last updated
01/11/2019
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