Healthcare Provider Details

I. General information

NPI: 1558788067
Provider Name (Legal Business Name): AARON KUHL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2014
Last Update Date: 03/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 W HURON AVE SUITE B
BAD AXE MI
48413-1177
US

IV. Provider business mailing address

128 W HURON AVE SUITE B
BAD AXE MI
48413-1177
US

V. Phone/Fax

Practice location:
  • Phone: 989-269-2700
  • Fax: 989-269-2705
Mailing address:
  • Phone: 989-269-2700
  • Fax: 989-269-2705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501016320
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: