Provider Demographics
NPI:1710579024
Name:KT PHYSIOWORKS LLC
Entity Type:Organization
Organization Name:KT PHYSIOWORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIREN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAIR
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:954-560-7641
Mailing Address - Street 1:145 SW 13TH ST APT 602
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-4386
Mailing Address - Country:US
Mailing Address - Phone:954-560-7641
Mailing Address - Fax:
Practice Address - Street 1:145 SW 13TH ST APT 602
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-4386
Practice Address - Country:US
Practice Address - Phone:954-560-7641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty