Provider Demographics
NPI:1295244689
Name:STRETCH PHYSICAL THERAPY
Entity type:Organization
Organization Name:STRETCH PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:NARTKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-874-8800
Mailing Address - Street 1:4851 WUNNENBERG WAY STE D
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-4855
Mailing Address - Country:US
Mailing Address - Phone:513-874-8800
Mailing Address - Fax:513-672-0519
Practice Address - Street 1:4851 WUNNENBERG WAY STE D
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-4855
Practice Address - Country:US
Practice Address - Phone:513-874-8800
Practice Address - Fax:513-672-0519
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOVEMENT SOLUTIONS PHYSICAL THERAPY AND WELLNESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty