Provider Demographics
NPI:1346785441
Name:KURTZ, THEA (MS OTR/L)
Entity type:Individual
Prefix:
First Name:THEA
Middle Name:
Last Name:KURTZ
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:THEA
Other - Middle Name:
Other - Last Name:HEIMERL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5100 PRAIRIE PKWY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-8155
Mailing Address - Country:US
Mailing Address - Phone:319-222-2901
Mailing Address - Fax:319-222-2991
Practice Address - Street 1:5100 PRAIRIE PKWY
Practice Address - Street 2:SUITE 104
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-8155
Practice Address - Country:US
Practice Address - Phone:319-222-2901
Practice Address - Fax:319-222-2991
Is Sole Proprietor?:No
Enumeration Date:2016-12-27
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001940225XP0200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics