Provider Demographics
NPI:1659713063
Name:WAMPLER-KUHN, MEREDITH ALISON (PT)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ALISON
Last Name:WAMPLER-KUHN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3332 NE PALMER DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-7683
Mailing Address - Country:US
Mailing Address - Phone:541-948-5633
Mailing Address - Fax:
Practice Address - Street 1:3332 NE PALMER DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-7683
Practice Address - Country:US
Practice Address - Phone:541-948-5633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-26
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR60224225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist