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NPI Code Detail

MEDICARE: KRISTYN MARIE KOHL PT

MEDICARE: KRISTYN MARIE KOHL PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist8614NC

General Provider Information

NPI Number : 1407980204
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTYN MARIE KOHL PT
Provider Business Mailing Address
First Line : 3929 MOSSYROCK RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-8908
Country : US
Telephone Number : 336-362-3657
Fax Number :
Provider Business Practice Location Address
First Line : 714 GREEN VALLEY RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27408-7018
Country : US
Telephone Number : 336-370-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 04/06/2026

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