Organization
PIVOTAL PHYSICAL THERAPY LLC
Active
Organization
PIVOTAL PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNE KELLY PT (OWNER)
(260) 703-0520
Entity
Organization
Contact information
Practice address
2809 W GODMAN AVE STE 8, MUNCIE, IN 47304-4415
(765) 703-0520
Mailing address
2201 N BENTON RD, MUNCIE, IN 47304-8506
(260) 703-0520
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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