Organization
KINESTHETIC PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA NOEL SIMS MPT (PHYSICAL THERAPIST/OWNER)
(678) 516-0895
Entity
Organization
Contact information
Practice address
3850 CANTON RD, BUILDING 100/SUITE 1114, MARIETTA, GA 30066-2608
(678) 516-0895
(678) 281-7658
Mailing address
3850 CANTON RD, BUILDING 100/SUITE 1114, MARIETTA, GA 30066-2608
(678) 516-0895
(678) 281-7658
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT008203
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I656707
MEDICARE
—
Enumeration date
01/07/2014
Last updated
01/07/2014
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