Provider Demographics
NPI:1144685025
Name:KUHL, NICOLE (OT)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:KUHL
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:BYLANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:PO BOX 1475
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-1475
Mailing Address - Country:US
Mailing Address - Phone:515-358-9461
Mailing Address - Fax:515-358-9489
Practice Address - Street 1:12493 UNIVERSITY AVE STE 100
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-8286
Practice Address - Country:US
Practice Address - Phone:515-358-9461
Practice Address - Fax:515-358-9489
Is Sole Proprietor?:No
Enumeration Date:2015-12-21
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002102225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist