Provider Demographics
NPI:1053825737
Name:KUHN PHYSICAL THERAPY AND WELLNESS, INC
Entity Type:Organization
Organization Name:KUHN PHYSICAL THERAPY AND WELLNESS, INC
Other - Org Name:SURFSTRONG PT AND PERFORMANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/FOUNDING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:619-895-8094
Mailing Address - Street 1:4876 SANTA MONICA AVE # 204
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92107-2811
Mailing Address - Country:US
Mailing Address - Phone:619-578-2880
Mailing Address - Fax:619-578-2880
Practice Address - Street 1:4879 CORONADO AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92107-3315
Practice Address - Country:US
Practice Address - Phone:619-895-8094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KUHN PHYSICAL THERAPY AND WELLNESS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-16
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40879225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty