Individual
RICHARD DALE KUNTZELMAN
Active
Individual
RICHARD DALE KUNTZELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
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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