Healthcare Provider Details

I. General information

NPI: 1750617205
Provider Name (Legal Business Name): TRAINING WITH HARTT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2009
Last Update Date: 10/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12454 KLING ST
STUDIO CITY CA
91604-1214
US

IV. Provider business mailing address

12454 KLING ST
STUDIO CITY CA
91604-1214
US

V. Phone/Fax

Practice location:
  • Phone: 818-506-6033
  • Fax:
Mailing address:
  • Phone: 818-506-6033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberPT25967
License Number StateCA

VIII. Authorized Official

Name: MRS. KIM HARTT
Title or Position: CEO/PHYSICAL THERAPIST
Credential:
Phone: 818-506-6033