Healthcare Provider Details

I. General information

NPI: 1932532546
Provider Name (Legal Business Name): KATELYN ELIZABETH KUHN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATELYN ELIZABETH HODGES

II. Dates (important events)

Enumeration Date: 08/19/2013
Last Update Date: 10/18/2022
Certification Date: 10/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

667 KINGSBOROUGH SQ STE 300
CHESAPEAKE VA
23320-4999
US

IV. Provider business mailing address

PO BOX 715868
PHILADELPHIA PA
19171-5868
US

V. Phone/Fax

Practice location:
  • Phone: 757-422-8476
  • Fax: 804-435-2172
Mailing address:
  • Phone: 804-915-1910
  • Fax: 301-540-5190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305213311
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: