# KISH PHYSICAL THERAPY AND PERFORMANCE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386550853
- **Authorized official:** STEVE LOGAN KISH DPT (OWNER/ PHYSICAL THERAPIST)
- **Authorized official phone:** (904) 386-4327

## Contact information

- **Practice address:** 970 BALCH RD, MADISON, AL 35758-9715
- **Practice address phone:** (904) 386-4327
- **Mailing address:** 305 WILLOW WOOD CT, MADISON, AL 35758-6640
- **Mailing address phone:** (904) 386-4327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2026
- **Last updated:** 08/24/2026