Organization Name: | KINETIC REHAB LLC |
NPI Number: | 1942537188 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY M RHOADS (OFFICE MANAGER) |
Mailing Address: | 410 N 2nd St Marshall |
State: | IL US |
Postal Code: | 624411010 |
Phone Number: | 2178262365 |
Fax Number: | 2178268120 |
NPI Enumeration Date: | 11/09/2009 |
NPI Last Update Date: | 03/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070002318 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |