# COASTAL KINETICS LLC

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

## Provider details

- **NPI number:** 1811875826
- **Authorized official:** ALEXANDER LAM DPT (OWNER, PHYSICAL THERAPIST)
- **Authorized official phone:** (727) 318-2146

## Contact information

- **Practice address:** 1864 72ND AVE NE, ST PETERSBURG, FL 33702-4714
- **Practice address phone:** (832) 671-1775
- **Mailing address:** 701 77TH AVE N UNIT 55042, SAINT PETERSBURG, FL 33702-5299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2025
- **Last updated:** 08/28/2025