Tim J Kudlock in Spearfish - Physical Therapist
Tim J Kudlock - NPI 1720125438
Tim J Kudlock is a Physical Therapist in Spearfish, South Dakota. Tim J Kudlock practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Tim J Kudlock is 1720125438. The last update date is 2007-07-09.
Tim J Kudlock's current location address is 215 E Jackson Blvd, Spearfish, South Dakota. You can contact this provider via phone number 6057226880 and fax number 6057226889. The mailing address for Tim J Kudlock is 215 E Jackson Blvd, Spearfish, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tim J Kudlock |
|---|---|
| Address | 215 E Jackson Blvd, Spearfish, South Dakota |
| Phone Number | 6057226880 |
| Fax Number | 6057226889 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1720125438 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 215 E Jackson Blvd |
|---|---|
| City | Spearfish |
| State | South Dakota (SD) |
| Post Code | 577832176 |
| Phone Number | 6057226880 |
| Fax Number | 6057226889 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 542 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5831434 | SD | -- | |
| 41172 | SD | BLUE CROSS BLUE SHIELD SD |
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What is the unique identifier code issued to Tim J Kudlock by the Centers for Medicare & Medicaid Services?
The Tim J Kudlock has been assigned the NPI (National Provider Identifier) 1720125438. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Tim J Kudlock's physical address?
The Tim J Kudlock is physically located at 215 E Jackson Blvd, in the city of Spearfish, SD, with the postal code 577832176.
What is the Tim J Kudlock's area of specialization and corresponding taxonomy classification?
The Tim J Kudlock's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
On what date did the Tim J Kudlock receive the assignment of its 1720125438 from the Centers for Medicare & Medicaid Services?
The Tim J Kudlock was issued its 1720125438 by the Centers for Medicare & Medicaid Services on 2007-01-31.
When was the information pertaining to Tim J Kudlock most recently updated or revised?
The details related to Tim J Kudlock, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY