| Organization Name: | THE KINETIC CHAIN PHYSICAL THERAPY |
| NPI Number: | 1154335412 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANA L VANSURKSUM (OWNER) |
| Mailing Address: | 4980 Barranca Pkwy Suite 202 Irvine |
| State: | CA US |
| Postal Code: | 926048645 |
| Phone Number: | 9495529100 |
| Fax Number: | 9495529102 |
| NPI Enumeration Date: | 07/29/2006 |
| NPI Last Update Date: | 07/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT21471 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |