Organization
TALLAHASSEE ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT C KNISLEY (CEO)
(850) 545-5318
Entity
Organization
Contact information
Practice address
76 MARKET ST STE D, APALACHICOLA, FL 32320-2709
(850) 739-7671
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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