# KINETIC PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1669085346
- **Authorized official:** MR. ROBERT M TATE (MANAGING EMPLYEE)
- **Authorized official phone:** (205) 940-1247

## Contact information

- **Practice address:** 15582 HIGHWAY 280 STE 114, CHELSEA, AL 35043-8361
- **Practice address phone:** (205) 940-1247
- **Practice address fax:** (334) 730-0499
- **Mailing address:** 8355 CROSSLAND LOOP, MONTGOMERY, AL 36117-8483
- **Mailing address phone:** (334) 270-1630
- **Mailing address fax:** (334) 313-8990

## Taxonomy

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

## Other

- **Enumeration date:** 08/24/2020
- **Last updated:** 08/24/2020