| Organization Name: | AGILITAS USA, INC. |
| NPI Number: | 1285046805 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY CUNNINGHAM (OWNER) |
| Mailing Address: | 1711 Cedar Grove Rd Suite 30 Shepherdsville |
| State: | KY US |
| Postal Code: | 401658538 |
| Phone Number: | 5025435475 |
| Fax Number: | 5025435476 |
| NPI Enumeration Date: | 06/02/2014 |
| NPI Last Update Date: | 06/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |