Doctor Name: | BRYAN D KUCH |
NPI Number: | 1639170111 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT011126 |
Business Practice Address: | 13207 Ravenna Rd Chardon, OH - 440247032 |
Business Phone Number: | 4402856452 |
Business Fax Number: | 4402851796 |
Mailing Address: | Po Box 567, CHAGRIN FALLS |
State: | OH |
Postal Code: | 440220567 |
Phone Number: | 2164645160 |
Fax Number: | 2164645982 |
NPI Enumeration Date: | 08/09/2005 |
NPI Last Update Date: | 10/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT011126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |