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Tim J Kudlock, PT

Physical Therapist in Spearfish, SD · enumerated 2007 · practices at Performance Physical Therapy Prof.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720125438

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Registry record

Entity type Individual (Type 1)
Name Tim J Kudlock
Credential PT
Sex Male
Practice address 215 E Jackson Blvd, Suite B, Spearfish, SD, 57783
Fax (605) 722-6889
Enumeration date Jan 31, 2007
Last updated in NPPES Jul 9, 2007

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 0542 (SD) Primary
PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation. About the PT credential

Other identifiers

Identifier Type State Issuer
5831434 Medicaid SD -
0041172 Other SD BLUE CROSS BLUE SHIELD SD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Tim Kudlock?
The National Provider Identifier (NPI) for Tim Kudlock is 1720125438, a Type 1 (individual) record in the CMS NPPES registry.
Where does Tim Kudlock practice?
The practice location on file with NPPES is in Spearfish, SD. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-09.