Healthcare Provider Details

I. General information

NPI: 1043726839
Provider Name (Legal Business Name): JAMIE LEE KUHL PT, DPT, OCS, CSCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2017
Last Update Date: 05/25/2024
Certification Date: 05/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 DAHLBERG DR STE A
LINCOLN NE
68512-9266
US

IV. Provider business mailing address

730 PRAIRIE CLOVER LN
BENNET NE
68317-2421
US

V. Phone/Fax

Practice location:
  • Phone: 531-510-0726
  • Fax:
Mailing address:
  • Phone: 402-335-7584
  • Fax: 402-420-0014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3751
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1106349
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: