Provider Demographics
NPI:1205441987
Name:FORTITUDE MOVEMENT & STRENGTH INC.
Entity type:Organization
Organization Name:FORTITUDE MOVEMENT & STRENGTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER; HEAD PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JEREMY
Authorized Official - Last Name:KIRSCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, ATC, CSCS
Authorized Official - Phone:706-294-0170
Mailing Address - Street 1:5300 PEACHTREE RD UNIT 2508
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-2457
Mailing Address - Country:US
Mailing Address - Phone:706-294-0170
Mailing Address - Fax:
Practice Address - Street 1:5300 PEACHTREE RD UNIT 2508
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-2457
Practice Address - Country:US
Practice Address - Phone:706-294-0170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy