Basic Information
| Provider Information | |||||||||
| NPI: | 1447769419 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KURZ | ||||||||
| FirstName: | HANNAH | ||||||||
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| Credential: | DPT | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | WRIGHT | ||||||||
| OtherFirstName: | HANNAH | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1040 WHITTIER HWY | ||||||||
| Address2: | UNIT 3 | ||||||||
| City: | MOULTONBOROUGH | ||||||||
| State: | NH | ||||||||
| PostalCode: | 032543604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 0327315706 | ||||||||
| FaxNumber: | 3034042252 | ||||||||
| Practice Location | |||||||||
| Address1: | 12297 PENNSYLVANIA ST UNIT 3 | ||||||||
| Address2: | |||||||||
| City: | THORNTON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802413165 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3032529400 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2017 | ||||||||
| LastUpdateDate: | 11/13/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/12/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PTL.0015301 | CO | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.