# KIND REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Daniel Basta Physical Therapy LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477016350
- **Authorized official:** DANIEL BASTA MSPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (347) 489-4533

## Contact information

- **Practice address:** 2600 S ROCK CREEK PKWY APT 21-101, SUPERIOR, CO 80027-4505
- **Practice address phone:** (347) 489-4533
- **Mailing address:** 566 S MCCASLIN BLVD UNIT 270316, SUPERIOR, CO 80027-5249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2019
- **Last updated:** 08/12/2020