Healthcare Provider Details

I. General information

NPI: 1972264216
Provider Name (Legal Business Name): KRISTEN SCHEURER KUHN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2022
Last Update Date: 01/09/2022
Certification Date: 01/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 HUNTERSFIELD RD
DELMAR NY
12054-3826
US

IV. Provider business mailing address

102 HUNTERSFIELD RD
DELMAR NY
12054-3826
US

V. Phone/Fax

Practice location:
  • Phone: 585-507-3568
  • Fax:
Mailing address:
  • Phone: 585-507-3568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number025030-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: