Organization Name: | KINETIC ENERGY PHYSICAL THERAPY PC |
NPI Number: | 1083652069 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARCO J RABANAL (OFFICE MANAGER) |
Mailing Address: | 1585 Mid Valley Dr #3 Steamboat Springs |
State: | CO US |
Postal Code: | 804879098 |
Phone Number: | 9708798026 |
Fax Number: | 9708798046 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 08/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |