Healthcare Provider Details

I. General information

NPI: 1487429296
Provider Name (Legal Business Name): JULIE L KUHNAU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2023
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 17TH AVE E
ALEXANDRIA MN
56308-5273
US

IV. Provider business mailing address

6911 HIGHLAND CIR NW
ALEXANDRIA MN
56308-9708
US

V. Phone/Fax

Practice location:
  • Phone: 320-762-6079
  • Fax:
Mailing address:
  • Phone: 320-808-4470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA199
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: