Provider Demographics
NPI:1043908296
Name:KURPESS, ANN KRISTINE (CTRS)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:KRISTINE
Last Name:KURPESS
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:KRISTINE
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CTRS
Mailing Address - Street 1:563 HODGE RD
Mailing Address - Street 2:
Mailing Address - City:EDDY
Mailing Address - State:TX
Mailing Address - Zip Code:76524-2718
Mailing Address - Country:US
Mailing Address - Phone:254-715-4996
Mailing Address - Fax:
Practice Address - Street 1:4800 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76711-1329
Practice Address - Country:US
Practice Address - Phone:254-752-6581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist