Organization Name: | KINETIC CONDITIONING INSTITUTE, INC |
NPI Number: | 1952474066 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEIZL-ANN M ADOLPHI (OWNER) |
Mailing Address: | 4105 Ocean View Blvd Suite A Montrose |
State: | CA US |
Postal Code: | 910201520 |
Phone Number: | 8189571980 |
Fax Number: | 8189571905 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT20048 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |