Provider Demographics
NPI:1427454370
Name:ANDREWS, KURT WILLIAM (MS, ATC, PES, CES)
Entity type:Individual
Prefix:MR
First Name:KURT
Middle Name:WILLIAM
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:MS, ATC, PES, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18400 AVALON BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-2172
Mailing Address - Country:US
Mailing Address - Phone:310-720-3862
Mailing Address - Fax:
Practice Address - Street 1:18400 AVALON BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-2172
Practice Address - Country:US
Practice Address - Phone:310-720-3862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer