Healthcare Provider Details

I. General information

NPI: 1750587200
Provider Name (Legal Business Name): JENNIFER LEE KUHNS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 14TH ST
HUNTINGDON PA
16652-3028
US

IV. Provider business mailing address

904 N 2ND ST
ALTOONA PA
16601-5704
US

V. Phone/Fax

Practice location:
  • Phone: 814-643-0337
  • Fax: 814-643-9231
Mailing address:
  • Phone: 814-949-0966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT018727
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: