Kenai Physical Therapy, Inc.

NPI #1962902197 in Homer, Alaska

Provider Information

NPI Number: 1962902197
Entity Type: Organization
Organization Name: Kenai Physical Therapy, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: KENAI PHYSICAL THERAPY, INC.
Primary Specialty: Physical Therapist
Enumeration Date: Feb 14, 2018
Last Updated: Feb 14, 2018

Practice Location

Address: 4107 HOHE AVE.
City: Homer
State: Alaska
ZIP Code: 99603-7008
Phone: (907) 235-0687

Authorized Official

Name: MS. ANETTE M AVANT, PT
Title: PRESIDENT/ SOLE OWNER
Phone: (907) 235-0687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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