Individual provider · NPI-1

Jasmine Kurkowski

Physical Therapy Assistant · Santa Fe, NM

NPI number1194591842
StatusActive
Last updated in NPPESDec 4, 2023

Details

NPI
1194591842
Entity type
Individual (NPI-1)
Name
Jasmine Kurkowski
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 4, 2023
Certification date
Dec 2, 2023
Last updated
Dec 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA1719NMYes
225200000X Physical Therapy Assistant51959CA

Practice location

4448 Contenta Rdg
Santa Fe, NM 87507-6612

Phone 505-307-0488

Mailing address

4448 Contenta Rdg
Santa Fe, NM 87507-6612

Phone 505-307-0488

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