Healthcare Provider Details

I. General information

NPI: 1255409348
Provider Name (Legal Business Name): ERICA M KUHNS MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 06/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4210 TELEGRAPH LN
VERMILION OH
44089-3748
US

IV. Provider business mailing address

4210 TELEGRAPH LN
VERMILION OH
44089-3748
US

V. Phone/Fax

Practice location:
  • Phone: 440-967-1800
  • Fax: 440-244-7527
Mailing address:
  • Phone: 440-967-1800
  • Fax: 440-244-7527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.012180
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: