MEDICARE: PHYSI-KUHL THERAPY LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1962973495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSI-KUHL THERAPY LLC

Provider Business Mailing Address
First Line	:	722 N BROADWAY ST
Second Line	:
City	:	PITTSBURG
State	:	KS
Zip	:	66762-3922
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	722 N BROADWAY ST
Second Line	:
City	:	PITTSBURG
State	:	KS
Zip	:	66762-3922
Country	:	US
Telephone Number	:	620-687-0978
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALEX KUHLMAN
Credential	:
Telephone Number	:	620-687-0978

Provider Enumeration Date	:	12/10/2018
Last Update Date	:	12/10/2018

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