Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerold R Kutzke, PTA

Individual provider Physical Therapy Assistant · NPI 1194150433

Jerold R Kutzke, PTA is a Physical Therapy Assistant in Lynnwood, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2013
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

19401 40th Ave W Ste 330
Lynnwood, WA 98036-4612
Phone: (425) 670-9987
Fax: (425) 744-7233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence P160041247 (WA)

Record details

NPI number1194150433
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 5, 2013
Last updated in NPPESSeptember 5, 2013
Mailing address19401 40th Ave W, Suite 330, Lynnwood, WA 98036-4612

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