Healthcare Provider Details

I. General information

NPI: 1205011384
Provider Name (Legal Business Name): LANCE RAHN KUHLMANN PT, DPT, OCS, CSCS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2008
Last Update Date: 07/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5790 N 33RD ST SUITE A
LINCOLN NE
68504-4651
US

IV. Provider business mailing address

5790 N 33RD ST SUITE A
LINCOLN NE
68504-4651
US

V. Phone/Fax

Practice location:
  • Phone: 402-436-2992
  • Fax: 402-436-2996
Mailing address:
  • Phone: 402-436-2992
  • Fax: 402-436-2996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2087
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: