Healthcare Provider Details

I. General information

NPI: 1477837599
Provider Name (Legal Business Name): JILL KUHL MSPT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JILL MARTI MSPT, DPT

II. Dates (important events)

Enumeration Date: 10/07/2011
Last Update Date: 02/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 HOSPITAL PKWY
SAN JOSE CA
95119-1103
US

IV. Provider business mailing address

1242C MINNESOTA AVE
SAN JOSE CA
95125-3844
US

V. Phone/Fax

Practice location:
  • Phone: 408-972-3512
  • Fax:
Mailing address:
  • Phone: 916-698-8847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number37931
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: