Provider Demographics
NPI:1447869391
Name:ROBBINS, KURT HOWARD (ATC)
Entity type:Individual
Prefix:
First Name:KURT
Middle Name:HOWARD
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7855 RACQUETBALL LN APT 317
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-8629
Mailing Address - Country:US
Mailing Address - Phone:662-316-0272
Mailing Address - Fax:
Practice Address - Street 1:7855 RACQUETBALL LN APT 317
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-8629
Practice Address - Country:US
Practice Address - Phone:662-316-0272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS20000399902255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty