Basic Information
| Provider Information | |||||||||
| NPI: | 1558337980 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KUHN | ||||||||
| FirstName: | TIMOTHY | ||||||||
| MiddleName: | TODD | ||||||||
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| Credential: | PT, DPT, CSCS, CAFS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 615 SIERRA ROSE DR STE 2A | ||||||||
| Address2: | |||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895114009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7758289724 | ||||||||
| FaxNumber: | 7758289728 | ||||||||
| Practice Location | |||||||||
| Address1: | 5546 S FORT APACHE RD STE 100B | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891487693 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7027984778 | ||||||||
| FaxNumber: | 7027984779 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/25/2006 | ||||||||
| LastUpdateDate: | 08/16/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1544 | NV | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 1558337980 | 05 | NV | MEDICAID | 39200 | 01 | NV | MEDICARE | OTHER |