Provider Demographics
NPI:1467170555
Name:SHELBY COUNTY PHYSICAL THERAPY , PC
Entity Type:Organization
Organization Name:SHELBY COUNTY PHYSICAL THERAPY , PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KINNE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:205-259-3991
Mailing Address - Street 1:101 CARRINGTON LN
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040-5439
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 CARRINGTON LN
Practice Address - Street 2:
Practice Address - City:CALERA
Practice Address - State:AL
Practice Address - Zip Code:35040-5439
Practice Address - Country:US
Practice Address - Phone:205-746-7339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty