Provider Demographics
NPI:1841046133
Name:ALL BODIES PHYSICAL THERAPY, INC
Entity type:Organization
Organization Name:ALL BODIES PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KUKIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:916-234-3987
Mailing Address - Street 1:317 33RD ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-3312
Mailing Address - Country:US
Mailing Address - Phone:916-234-3876
Mailing Address - Fax:
Practice Address - Street 1:317 33RD ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-3312
Practice Address - Country:US
Practice Address - Phone:916-234-3876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy