Provider Demographics
NPI:1134012453
Name:ADVANCED RECOVERY THERAPY LLC
Entity type:Organization
Organization Name:ADVANCED RECOVERY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:KASKIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-789-2225
Mailing Address - Street 1:3829 ROSWELL RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-6236
Mailing Address - Country:US
Mailing Address - Phone:770-321-0696
Mailing Address - Fax:
Practice Address - Street 1:3829 ROSWELL RD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-6236
Practice Address - Country:US
Practice Address - Phone:770-321-0696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty