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NPI Code Detail

MEDICARE: KINEMATIC CONCEPTS PHYSICAL THERAPY & SPORTS REHAB

MEDICARE: KINEMATIC CONCEPTS PHYSICAL THERAPY & SPORTS REHAB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist647890003TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10084HNOTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1336376821
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINEMATIC CONCEPTS PHYSICAL THERAPY & SPORTS REHAB
Provider Business Mailing Address
First Line : 8627 CINNAMON CREEK DR
Second Line : SUITE 402
City : SAN ANTONIO
State : TX
Zip : 78240-1480
Country : US
Telephone Number : 210-695-2682
Fax Number : 210-598-0432
Provider Business Practice Location Address
First Line : 10555 CULEBRA RD
Second Line : SUITE 103
City : SAN ANTONIO
State : TX
Zip : 78251-3666
Country : US
Telephone Number : 210-888-6042
Fax Number : 210-888-6045
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. CHAD A ELMS
Credential : PT
Telephone Number : 210-372-9600
Provider Enumeration Date : 06/11/2009
Last Update Date : 11/27/2013

Similar Medicare Providers

1437269131 — JOAN MILLWATER CHT
Practice Location Address:
10555 CULEBRA RD , SUITE 103
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Practice Fax: 210-888-6045
1578711271 — KUNIHIKO HOSAKA P.T.
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1629386271 — JESSICA F WILLIAMS PT
Practice Location Address:
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Practice Fax: 210-888-6045
1649529710 — CHRISTOPHER JOEL LUPER PT
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1578803060 — ELIZABETH MARY KOELBEL PT, DPT
Practice Location Address:
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1457750960 — EMILY VALDES PT
Practice Location Address:
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Directions to “KINEMATIC CONCEPTS PHYSICAL THERAPY & SPORTS REHAB ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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