Healthcare Provider Details

I. General information

NPI: 1295207165
Provider Name (Legal Business Name): ALYSSA KUHN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2018
Last Update Date: 06/15/2020
Certification Date: 06/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 BLAZER PKWY
DUBLIN OH
43017-3554
US

IV. Provider business mailing address

150 S 200 E APT 4106
SALT LAKE CITY UT
84111-2498
US

V. Phone/Fax

Practice location:
  • Phone: 614-588-0228
  • Fax:
Mailing address:
  • Phone: 989-284-8969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT017426
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11666117-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: