Provider Demographics
NPI:1275129736
Name:ART OF KINETICS THERAPY LLC
Entity Type:Organization
Organization Name:ART OF KINETICS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SADAE
Authorized Official - Middle Name:
Authorized Official - Last Name:BINION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-635-9650
Mailing Address - Street 1:24865 RENSSELAER ST
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-1773
Mailing Address - Country:US
Mailing Address - Phone:248-635-9650
Mailing Address - Fax:
Practice Address - Street 1:24865 RENSSELAER ST
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-1773
Practice Address - Country:US
Practice Address - Phone:248-635-9650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy