Provider Demographics
NPI:1467088336
Name:KURT, MALERIE CATHERINE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:MALERIE
Middle Name:CATHERINE
Last Name:KURT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 14TH STREET
Mailing Address - Street 2:REHABILITATION DEPARTMENT
Mailing Address - City:BARABOO
Mailing Address - State:WI
Mailing Address - Zip Code:53913
Mailing Address - Country:US
Mailing Address - Phone:608-356-1505
Mailing Address - Fax:
Practice Address - Street 1:707 14TH STREET
Practice Address - Street 2:REHABILITATION DEPARTMENT
Practice Address - City:BARABOO
Practice Address - State:WI
Practice Address - Zip Code:53913
Practice Address - Country:US
Practice Address - Phone:608-356-1505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13954-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist