IndividualActive
Kurt Baca
NPI 1376565481 · Recreation Therapist · Pueblo, CO
Provider details
- NPI number
- 1376565481
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
1600 W 24th St
Pueblo, CO 81003-1411
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.