Basic Information
| Provider Information | |||||||||
| NPI: | 1639537665 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KUHN ENTERPRISES LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | PREMIER PHYSICAL THERAPY & SPORTS PERFORMANCE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5546 S FORT APACHE RD STE 100B | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891487693 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7027984778 | ||||||||
| FaxNumber: | 7027984779 | ||||||||
| 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: | 02/04/2016 | ||||||||
| LastUpdateDate: | 02/04/2016 | ||||||||
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| AuthorizedOfficialLastName: | KUHN | ||||||||
| AuthorizedOfficialFirstName: | TIMOTHY | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7027984778 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | NV 1544 | NV | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.