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Contact Information

JESSICA L KUTZ, LAT, ATC
19000 E 191ST STREET
SUITE K
WESTFIELD, IN46074
 Phone: 317-817-1200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JESSICA L KUTZ · (Female)

NPI # 1477191088
Status Active
Credentials LAT, ATC
Entity Individual
Enumeration date 12/13/2019
Last updated 12/13/2019 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 36002359A
  • Other 200018552 BOARD OF CERTIFICATION NUMBER
  • IN Other 36002359A IN ATHLETIC TRAINING LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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