Organization Name: | AGILITAS USA, INC. |
NPI Number: | 1750716346 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY CUNNINGHAM (OWNER) |
Mailing Address: | 324 Sutton Rd Se Suite B. Owens Cross Roads |
State: | AL US |
Postal Code: | 357639372 |
Phone Number: | 2562880045 |
Fax Number: | 2562880046 |
NPI Enumeration Date: | 09/13/2013 |
NPI Last Update Date: | 09/13/2013 |
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: |