KINETIC PHYSICAL THERAPY AND SPINE PC NPI 1720404940

NPI Information

NPI: 1720404940
Provider Name: KINETIC PHYSICAL THERAPY AND SPINE PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
199 MAIN ST
KEANSBURG, NJ
ZIP 07734
Phone: (732) 495-0905
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KINETIC PHYSICAL THERAPY AND SPINE PC is a chiropractor in Keansburg, NJ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. KINETIC PHYSICAL THERAPY AND SPINE PC NPI is 1720404940. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

199 MAIN ST
KEANSBURG, NJ
ZIP 07734-734
Phone: (732) 495-0905

The provider's authorized official is Stephen Costa .
The authorized official title is President and has the following contact phone number (732) 495-0905.

The enumeration date for this NPI number is 3/12/2014 and was last updated on 3/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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