Provider Demographics
NPI:1104927342
Name:KUHN PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:KUHN PHYSICAL THERAPY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENGARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-828-9724
Mailing Address - Street 1:615 SIERRA ROSE DR
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2060
Mailing Address - Country:US
Mailing Address - Phone:775-828-9724
Mailing Address - Fax:775-828-9728
Practice Address - Street 1:615 SIERRA ROSE DR
Practice Address - Street 2:SUITE 2A
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2060
Practice Address - Country:US
Practice Address - Phone:775-828-9724
Practice Address - Fax:775-828-9728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100503614Medicaid
NV100503614Medicaid