Provider Demographics
NPI:1013013895
Name:STRONG, RORY KINDER (PT)
Entity Type:Individual
Prefix:MR
First Name:RORY
Middle Name:KINDER
Last Name:STRONG
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3715 COUNTY ROAD 113
Mailing Address - Street 2:
Mailing Address - City:MONTEVALLO
Mailing Address - State:AL
Mailing Address - Zip Code:35115-9752
Mailing Address - Country:US
Mailing Address - Phone:205-665-4549
Mailing Address - Fax:
Practice Address - Street 1:110 BAKER AVE
Practice Address - Street 2:
Practice Address - City:CLANTON
Practice Address - State:AL
Practice Address - Zip Code:35045-2337
Practice Address - Country:US
Practice Address - Phone:205-280-6450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH4268225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51521152OtherBLUE CROSS BLUE SHIELD AL
AL014518Medicare ID - Type Unspecified