MEDICARE: MS. JODI D. KUHN P.T.

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
1	225100000X	Physical Therapist	PT8027	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0172330	OTHER	WA	DEPT. OF LABOR AND INDUSTRIES
3	6482KU	OTHER	WA	REGENCE

General Provider Information

NPI Number	:	1801951876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JODI D. KUHN P.T.

Provider Business Mailing Address
First Line	:	16030 BOTHELL EVERETT HWY STE 200
Second Line	:
City	:	MILL CREEK
State	:	WA
Zip	:	98012-1273
Country	:	US
Telephone Number	:	425-745-4910
Fax Number	:	425-338-5709

Provider Business Practice Location Address
First Line	:	16030 BOTHELL EVERETT HWY
Second Line	:	SUITE 200 THE DONALDSON CLINIC
City	:	MILL CREEK
State	:	WA
Zip	:	98012-1741
Country	:	US
Telephone Number	:	425-745-4910
Fax Number	:	425-338-5709

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	04/04/2018

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