| Organization Name: | KINEMATICS PHYSICAL THERAPY AND SPORTS PERFORMANCE INC |
| NPI Number: | 1184020638 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW HARU FUJITA (PHYSICAL THERAPIST AND OWNER) |
| Mailing Address: | 1761 3rd St Suite 105 Norco |
| State: | CA US |
| Postal Code: | 928602678 |
| Phone Number: | 9099570557 |
| Fax Number: | |
| NPI Enumeration Date: | 11/11/2014 |
| NPI Last Update Date: | 11/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 36534 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |