Individual provider · Type 1 NPI

Jerold R. Kutzke, PTA

Physical Therapy Assistant · Lynnwood, WA

NPI number 1194150433 Active

Practice location

19401 40th Ave W, Suite 330
Lynnwood, WA 98036-4612

Call (425) 670-9987 Map

Fax (425) 744-7233

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XP160041247 (WA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1194150433

Jerold R. Kutzke, PTA's National Provider Identifier is 1194150433, issued on Sep 5, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lynnwood, WA. The record was last updated on Sep 5, 2013.