Provider Demographics
NPI:1205041977
Name:BEIERMEISTER, KURT W (MSPT)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:W
Last Name:BEIERMEISTER
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 LITTLE DR
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04350-3231
Mailing Address - Country:US
Mailing Address - Phone:207-268-9460
Mailing Address - Fax:
Practice Address - Street 1:36 LUDWIG RD
Practice Address - Street 2:
Practice Address - City:DRESDEN
Practice Address - State:ME
Practice Address - Zip Code:04342-3411
Practice Address - Country:US
Practice Address - Phone:207-737-2478
Practice Address - Fax:207-737-2793
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT2942225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist