Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tim J Kudlock, PT

Individual provider Physical Therapist · NPI 1720125438

Tim J Kudlock, PT is a Physical Therapist in Spearfish, South Dakota. Licensed in South Dakota. Registered with an NPI since 2007.

Licensed in
SD
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

215 E Jackson Blvd Ste B
Spearfish, SD 57783-2176
Phone: (605) 722-6880
Fax: (605) 722-6889
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 0542 (SD)

Record details

NPI number1720125438
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJuly 9, 2007
Mailing address215 E Jackson Blvd, Suite B, Spearfish, SD 57783-2176

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