JEROLD R KUTZKE

LYNNWOOD, WA
NPI1194150433
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  P160041247)
Enumeration Date2013-09-05
Last Update Date2013-09-05
Business Address
-- JEROLD R KUTZKE PTA
19401 40TH AVE W SUITE 330
LYNNWOOD, WA 98036-4612
Phone number: 425-670-9987
Mailing Address
-- JEROLD R KUTZKE PTA
19401 40TH AVE W SUITE 330
LYNNWOOD, WA 98036-4612
Phone number: 425-670-9987