Provider Demographics
NPI:1700055381
Name:KUHL, JOLYNN C (PT)
Entity Type:Individual
Prefix:
First Name:JOLYNN
Middle Name:C
Last Name:KUHL
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 1:2024 OREGON AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61108-5966
Mailing Address - Country:US
Mailing Address - Phone:815-395-1753
Mailing Address - Fax:815-227-1095
Practice Address - Street 1:2024 OREGON AVE
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61108-5966
Practice Address - Country:US
Practice Address - Phone:815-395-1753
Practice Address - Fax:815-227-1095
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist