Provider Demographics
NPI:1992835649
Name:GINTER, KURT (RKT)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:
Last Name:GINTER
Suffix:
Gender:M
Credentials:RKT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 N BOYNTON DR
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-5517
Mailing Address - Country:US
Mailing Address - Phone:847-358-1489
Mailing Address - Fax:
Practice Address - Street 1:1044 N WESTERN AVE
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-1282
Practice Address - Country:US
Practice Address - Phone:847-234-0404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist