| NPI | 1831499094 |
|---|---|
| Former Name | KIMBERLY A KUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: MN 9249) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 10701) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2020-04-08 |