Organization Name: | KINSTON PHYSICAL THERAPY & SPINE, LLC |
NPI Number: | 1740552090 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN MAE STEVENS (EXECUTIVE/OWNER/PHYSICAL THERAPIST) |
Mailing Address: | 704 Plaza Blvd Ste. C103 Kinston |
State: | NC US |
Postal Code: | 285011557 |
Phone Number: | 2522080989 |
Fax Number: | 2522080905 |
NPI Enumeration Date: | 02/02/2012 |
NPI Last Update Date: | 08/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8745 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |