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KINETIC PHYSICAL THERAPY LLC

Details

Name: KINETIC PHYSICAL THERAPY LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 18 Aug 2020 (4 years ago)
Entity Number: 000-643-738
Register Number: 000643738
Place of Formation: Montgomery County

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669085346 2020-08-24 2020-08-24 8355 CROSSLAND LOOP, MONTGOMERY, AL, 361178483, US 15582 HIGHWAY 280 STE 114, CHELSEA, AL, 350438361, US

Contacts

Phone +1 334-270-1630
Fax 3343138990
Phone +1 205-940-1247
Fax 3347300499

Authorized person

Name MR. ROBERT M TATE
Role MANAGING EMPLYEE
Phone 2059401247

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
MCDERMOTT, MICKEY Agent 441 HIGH STREETMONTGOMERY, AL 36104

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State