Healthcare Provider Details

I. General information

NPI: 1558337980
Provider Name (Legal Business Name): TIMOTHY TODD KUHN PT, DPT, CSCS, CAFS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2006
Last Update Date: 08/16/2022
Certification Date: 08/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5546 S FORT APACHE RD STE 100B
LAS VEGAS NV
89148-7693
US

IV. Provider business mailing address

615 SIERRA ROSE DR STE 2A
RENO NV
89511-4009
US

V. Phone/Fax

Practice location:
  • Phone: 702-798-4778
  • Fax: 702-798-4779
Mailing address:
  • Phone: 775-828-9724
  • Fax: 775-828-9728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1544
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: