Provider Demographics
NPI:1992413587
Name:KUHN, MASON (PT, DPT)
Entity type:Individual
Prefix:
First Name:MASON
Middle Name:
Last Name:KUHN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 SEYBOLD RD STE 109
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-1388
Mailing Address - Country:US
Mailing Address - Phone:608-571-2661
Mailing Address - Fax:608-535-6229
Practice Address - Street 1:6701 SEYBOLD RD STE 109
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1388
Practice Address - Country:US
Practice Address - Phone:608-571-2661
Practice Address - Fax:608-535-6229
Is Sole Proprietor?:No
Enumeration Date:2022-11-11
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15794-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI15794-24OtherWI STATE PHYSICAL THERAPIST LICENSE