MEDICARE: DR. TIMOTHY LEE UHL PHD ATC PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT001318	KY
2	2255A2300X	Athletic Trainer	AT076	KY

General Provider Information

NPI Number	:	1699736454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY LEE UHL PHD ATC PT

Provider Business Mailing Address
First Line	:	900 S LIMESTONE
Second Line	:	CTW BUILDING ROOM 210 UNIVERSITY OF KENTUCKY
City	:	LEXINGTON
State	:	KY
Zip	:	40536-0200
Country	:	US
Telephone Number	:	859-323-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 S LIMESTONE
Second Line	:	CTW BUILDING ROOM 210 UNIVERSITY OF KENTUCKY
City	:	LEXINGTON
State	:	KY
Zip	:	40536-0200
Country	:	US
Telephone Number	:	859-323-1100
Fax Number	:	859-323-6003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	04/13/2023

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