Individual
JUSTIN KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
720 32ND ST S, BIRMINGHAM, AL 35233-3516
(205) 731-2177
Mailing address
2823 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL 35242-2660
(205) 745-3660
(205) 745-3649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9290
AL
2251S0007X
Sports Physical Therapist
Primary
PTH9290
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH9290
LICENSE
AL
Enumeration date
02/18/2019
Last updated
08/31/2022
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