Provider Demographics
NPI:1457846974
Name:KINATEX PHYSICAL THERAPY AND REHABILITATION LLC
Entity Type:Organization
Organization Name:KINATEX PHYSICAL THERAPY AND REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEKSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-266-4226
Mailing Address - Street 1:6290 LINTON BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6409
Mailing Address - Country:US
Mailing Address - Phone:561-266-4226
Mailing Address - Fax:
Practice Address - Street 1:6290 LINTON BLVD STE 103
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6409
Practice Address - Country:US
Practice Address - Phone:561-266-4226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy