Evan Kuhl, PT, DPT, XPS, USAW-1

Individual provider Active NPI Physical Therapist · Frontenac, MO

NPI 1285200378 · NPPES record last updated May 31, 2021

Key facts

NPI
1285200378
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2020032498 (MO)
Practice address
10407 Clayton Rd
Frontenac, MO 63131-2909
Phone
(314) 432-6103
NPI assigned
May 31, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2020032498MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nutriformance Past
since Jun 6, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2020032498 MO Yes

Addresses

Primary practice location

10407 Clayton Rd
Frontenac, MO 63131-2909

Mailing address

2024 Oregon Ave
Rockford, IL 61108-5966
Phone (779) 208-0785

Other providers in Frontenac, MO

All providers in Frontenac, MO · Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.