Provider Demographics
NPI:1780312314
Name:SHELBY COUNTY PHYSICAL THERAPY P.C.
Entity type:Organization
Organization Name:SHELBY COUNTY PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:HALL
Authorized Official - Last Name:KINNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-755-6110
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:205-746-7339
Mailing Address - Fax:205-876-8063
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:205-876-8063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty