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1831862903 NPI number — KINETIC PHYSICAL THERAPY PLLC

NPI Number: 1831862903
Health Care Provider/Practitioner: KINETIC PHYSICAL THERAPY PLLC

Information about “1831862903” NPI (KINETIC PHYSICAL THERAPY PLLC) exists in 1831862903 in HTML format HTML  |  1831862903 in plain Text format TXT  |  1831862903 in PDF (Portable Document Format) PDF  |  1831862903 in an XML format XML  formats.

NPI Number : 1831862903 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831862903",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KINETIC PHYSICAL THERAPY PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "17939 E APPALOOSA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "QUEEN CREEK",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85142-4529",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-206-1591",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5089 W HERRIMAN BLVD STE 2B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HERRIMAN",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84096-2599",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-206-1591",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/26/2021",
    "LastUpdateDate": "09/07/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MILLER",
    "AuthorizedOfficialFirstName": "SEAN",
    "AuthorizedOfficialMiddleName": "AARON",
    "AuthorizedOfficialTitle": "CEO/OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PT",
    "AuthorizedOfficialTelephoneNumber": "480-206-1591",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2000X",
        "TaxonomyName": "Physical Therapy Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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