Healthcare Provider Details

I. General information

NPI: 1477341261
Provider Name (Legal Business Name): TAYLER RAE KUHLMANN I COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 04/30/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W WINDSOR RD
URBANA IL
61802-6603
US

IV. Provider business mailing address

120 WEST DIVISION ST TAYLER.KUHLMANN56@OUTLOOK.COM
FISHER IL
61843
US

V. Phone/Fax

Practice location:
  • Phone: 217-344-2144
  • Fax:
Mailing address:
  • Phone: 217-550-3768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number0.57006138
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: