Individual
RICHARD DALE KUNTZELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
205 HAGGERTY LN, SUITE 100, BOZEMAN, MT 59715-8800
(406) 585-7399
Mailing address
205 HAGGERTY LN, SUITE 100, BOZEMAN, MT 59715-8800
(406) 585-7399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
566
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60605
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/19/2006
Last updated
07/08/2007
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