Chandler Gary Kurtz, ATC, LAT
Specialist/Technologist, Athletic Trainer in Jacksonville, FL. Individual provider (NPI-1).
NPI number1124331509
StatusActive
Last updated in NPPESJul 14, 2010
Details
- NPI
- 1124331509
- Entity type
- Individual (NPI-1)
- Name
- Mr. Chandler Gary Kurtz
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2010
- Last updated
- Jul 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AL2364 | FL | Yes |
Practice location
7740 Point Meadows DrSuite 1 &2
Jacksonville, FL 32256-9179
Phone 904-564-9594
Mailing address
11550 Villa GrandApt. 1308
Fort Myers, FL 33913-8614
Phone 513-236-3522
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