Organization
SUMMIT THERAPY LLC
Active
Parent organization
KCINEL LLC
Other names
Summit Therapy Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
KCINEL LLC
Authorized official
ANDREW LENICK (PRESIDENT / ADMINISTRATOR)
(602) 535-8255
Entity
Organization
Contact information
Practice address
7310 N 16TH ST STE 100, PHOENIX, AZ 85020-5259
(602) 535-8255
(602) 535-8254
Mailing address
7310 N 16TH ST STE 100, PHOENIX, AZ 85020-5258
(602) 535-8255
(602) 535-8254
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
AZ
253Z00000X
In Home Supportive Care Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
—
AZ
261QR0400X
Rehabilitation Clinic/Center
Primary
—
AZ
261QX0100X
Occupational Medicine Clinic/Center
—
AZ
Other
Enumeration date
01/11/2010
Last updated
05/04/2023
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