Taylor Nichole Kunz, DPT
Individual provider Active NPI Physical Therapist · Park Rapids, MN
NPI 1245848522 · NPPES record last updated Sep 8, 2020
Key facts
- NPI
- 1245848522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2297 (ND)
- Practice address
- 110 Pleasant Ave S
Park Rapids, MN 56470-1415 - Phone
- (218) 237-3052
- NPI assigned
- Jul 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2297 | ND | MD | General Practice Dentistry |
| 12047 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 2297 | ND | Yes |
| Physical Therapist | 225100000X | 12047 | MN |
Addresses
Primary practice location
110 Pleasant Ave S
Park Rapids, MN 56470-1415
Mailing address
PO Box 294
Berthold, ND 58718-0294
Phone (605) 295-3790
Other practice location 1
55 Frances Ave NE
Berthold, ND 58718-5871
Phone (605) 295-3790
Other providers in Park Rapids, MN
- Crystal Rose Krautkremer
- Elizabeth Ann Krueger
- Stacia Krzyzanowski
- Kueber Eye Care PLLC
- Jamie Mae Kueber
- Clifford W Lafreniere
- John R Lageson
- Lake Country Associates, Inc.
- Lakes Area Day Health Inc
- Betty Larsen
All providers in Park Rapids, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.