# KINETIC OF MONTGOMERY, LLC

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

## Provider details

- **NPI number:** 1619570660
- **Authorized official:** ROBERT M TATE JR. (MANAGING PARTNER)
- **Authorized official phone:** (334) 233-8283

## Contact information

- **Practice address:** 6707 TAYLOR CIR, MONTGOMERY, AL 36117-7706
- **Practice address phone:** (334) 625-0209
- **Practice address fax:** (833) 626-0683
- **Mailing address:** 8355 CROSSLAND LOOP, MONTGOMERY, AL 36117-8483
- **Mailing address phone:** (334) 270-1630
- **Mailing address fax:** (334) 730-0499

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2020
- **Last updated:** 11/20/2020