Provider Demographics
NPI:1255663589
Name:AGILECARE INC.
Entity Type:Organization
Organization Name:AGILECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:KIRBY
Authorized Official - Last Name:GILE
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:615-713-8793
Mailing Address - Street 1:2216 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-1150
Mailing Address - Country:US
Mailing Address - Phone:615-713-8793
Mailing Address - Fax:615-962-7711
Practice Address - Street 1:2216 WESTWOOD DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-1150
Practice Address - Country:US
Practice Address - Phone:615-713-8793
Practice Address - Fax:615-962-7711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8180225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty