Healthcare Provider Details

I. General information

NPI: 1679925002
Provider Name (Legal Business Name): DAVID KUHN LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2016
Last Update Date: 10/17/2022
Certification Date: 10/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 MERIDIAN WAY STE 241
WESTERVILLE OH
43082-2305
US

IV. Provider business mailing address

670 MERIDIAN WAY STE 254
WESTERVILLE OH
43082-2306
US

V. Phone/Fax

Practice location:
  • Phone: 614-597-0306
  • Fax:
Mailing address:
  • Phone: 614-597-0306
  • Fax: 614-920-3199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.021918
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: