Organization
KINETIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH MARIE PAGENKOPF (PHYSICAL THERAPIST)
(907) 617-4402
Entity
Organization
Contact information
Practice address
5193 BORCH ST, KETCHIKAN, AK 99901-9036
(907) 617-4402
(907) 247-7868
Mailing address
PO BOX 794, WARD COVE, AK 99928-0794
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
826
AK
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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