Provider Demographics
NPI:1831686989
Name:KUTZ, ANGELA FEHR (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:FEHR
Last Name:KUTZ
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:POTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17901-8871
Mailing Address - Country:US
Mailing Address - Phone:570-385-4030
Mailing Address - Fax:
Practice Address - Street 1:186 MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901-8871
Practice Address - Country:US
Practice Address - Phone:570-385-4030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-15
Last Update Date:2018-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA008048L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist