| Organization Name: | KINETIC ORTHOTICS, INC. |
| NPI Number: | 1104007137 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH SKERTICH (PRESIDENT) |
| Mailing Address: | 3958 Rose Ave Western Springs |
| State: | IL US |
| Postal Code: | 605581032 |
| Phone Number: | 7082469249 |
| Fax Number: | 7082469249 |
| NPI Enumeration Date: | 11/19/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |