Healthcare Provider Details

I. General information

NPI: 1598683484
Provider Name (Legal Business Name): MARK KUHLMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 STADIUM DR STE B
DEFIANCE OH
43512-4615
US

IV. Provider business mailing address

10049 STATE ROUTE 613
LEIPSIC OH
45856-8911
US

V. Phone/Fax

Practice location:
  • Phone: 419-591-3818
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT021322
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: