Provider Demographics
NPI:1558337980
Name:KUHN, TIMOTHY TODD (PT, DPT, CSCS, CAFS)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:TODD
Last Name:KUHN
Suffix:
Gender:M
Credentials:PT, DPT, CSCS, CAFS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 SIERRA ROSE DR STE 2A
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-4009
Mailing Address - Country:US
Mailing Address - Phone:775-828-9724
Mailing Address - Fax:775-828-9728
Practice Address - Street 1:5546 S FORT APACHE RD STE 100B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-7693
Practice Address - Country:US
Practice Address - Phone:702-798-4778
Practice Address - Fax:702-798-4779
Is Sole Proprietor?:No
Enumeration Date:2006-02-25
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1544225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1558337980Medicaid
NV39200OtherMEDICARE