Healthcare Provider Details

I. General information

NPI: 1568374353
Provider Name (Legal Business Name): K3TZ PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24306 WALNUT ST
TORRANCE CA
90501-6735
US

IV. Provider business mailing address

24306 WALNUT ST
TORRANCE CA
90501-6735
US

V. Phone/Fax

Practice location:
  • Phone: 609-741-7458
  • Fax:
Mailing address:
  • Phone: 609-741-7458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: KHUSHBU KUSHAN SHAH
Title or Position: PHYSICAL THERAPIST
Credential:
Phone: 609-741-7458