Individual
ALEXI KUTAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15316 HUEBNER RD, STE 202, SAN ANTONIO, TX 78248-0987
(210) 614-4567
Mailing address
1843 LOST TRAIL, PLEASANTON, TX 78064-6755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1197766
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
Enumeration date
07/01/2010
Last updated
04/09/2015
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