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Organization
KINEMATIC CONCEPTS PHYSICAL THERAPY & SPORTS REHAB
Active
Organization
KINEMATIC CONCEPTS PHYSICAL THERAPY & SPORTS REHAB
Active
Other names
Momentum Physical Therapy & Sports Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD A ELMS PT (CHIEF EXECUTIVE OFFICER)
(210) 372-9600
Entity
Organization
Contact information
Practice address
10555 CULEBRA RD, SUITE 103, SAN ANTONIO, TX 78251-3666
(210) 888-6042
(210) 888-6045
Mailing address
8627 CINNAMON CREEK DR, SUITE 402, SAN ANTONIO, TX 78240-1480
(210) 695-2682
(210) 598-0432
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
647890003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084HN
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/11/2009
Last updated
11/27/2013
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