Provider Demographics
NPI:1043726839
Name:KUHL, JAMIE LEE (PT, DPT, CSCS)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEE
Last Name:KUHL
Suffix:
Gender:F
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 PRAIRIE CLOVER LN
Mailing Address - Street 2:
Mailing Address - City:BENNET
Mailing Address - State:NE
Mailing Address - Zip Code:68317-2421
Mailing Address - Country:US
Mailing Address - Phone:402-335-7584
Mailing Address - Fax:402-420-0014
Practice Address - Street 1:2081 N WEBB RD STE B
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3403
Practice Address - Country:US
Practice Address - Phone:316-206-8239
Practice Address - Fax:316-462-5767
Is Sole Proprietor?:No
Enumeration Date:2017-12-16
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3751225100000X
KS1106349225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist