1427088244 NPI number — MISS SARA MICHELLE KUHN PT, CSCS

Table of content: MISS SARA MICHELLE KUHN PT, CSCS (NPI 1427088244)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427088244 NPI number — MISS SARA MICHELLE KUHN PT, CSCS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KUHN
Provider First Name:
SARA
Provider Middle Name:
MICHELLE
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
PT, CSCS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WENDLAND
Provider Other First Name:
SARA
Provider Other Middle Name:
MICHELLE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1427088244
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 1ST MONTGOMERY BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
THORNDALE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19372-1141
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-384-6475
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3000 C G ZINN RD
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
THORNDALE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19372-1134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-383-7700
Provider Business Practice Location Address Fax Number:
610-383-9726
Provider Enumeration Date:
07/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT017638 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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