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Contact Information

KURTIS L WILLMAN
310 S 63RD ST
MESA, AZ85206-6016
 Phone: 928-351-1291
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KURTIS L WILLMAN · (Male)

NPI Number 1295558286
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2024
Last updated 11/06/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 4367
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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