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Organization
KINETIX PHYSICAL THERAPY LLC
Active
Organization
KINETIX PHYSICAL THERAPY LLC
Active
Other names
Salem Sportscare Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DOMONIQUE RUSCITTI (BILLING & CONTRACTING SPECIALIST)
(971) 274-2861
Entity
Organization
Contact information
Practice address
3871 FAIRVIEW INDUSTRIAL DR SE STE 120, SALEM, OR 97302-1172
(503) 990-6393
(503) 794-0103
Mailing address
3871 FAIRVIEW INDUSTRIAL DR SE STE 120, SALEM, OR 97302-1172
(503) 990-6393
(503) 794-0103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
04/05/2022
Last updated
06/08/2022
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