Organization
KNCC ENTERPRISE, LLC
Active
Other names
Tuttle Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY YOUNG (OWNER)
(937) 408-2682
Entity
Organization
Contact information
Practice address
155 SOUTH TUTTLE ROAD, SPRINGFIELD, OH 45505
(937) 717-6436
Mailing address
155 SOUTH TUTTLE ROAD, SPRINGFIELD, OH 45505
(937) 717-6436
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/08/2011
Last updated
04/20/2017
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