Provider Demographics
NPI:1740892124
Name:ABSOLUTE KINETICS PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:ABSOLUTE KINETICS PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:SINK
Authorized Official - Last Name:HUTCHISON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:419-957-2484
Mailing Address - Street 1:11524 RALEIGH LAGRANGE RD E
Mailing Address - Street 2:
Mailing Address - City:EADS
Mailing Address - State:TN
Mailing Address - Zip Code:38028-7916
Mailing Address - Country:US
Mailing Address - Phone:419-957-2484
Mailing Address - Fax:
Practice Address - Street 1:358 NEW BYHALIA RD
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-3743
Practice Address - Country:US
Practice Address - Phone:901-499-5718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2023-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty