Provider Demographics
NPI:1992429856
Name:PELVICSMART REHABILITATION AND WELLNESS, PLLC
Entity type:Organization
Organization Name:PELVICSMART REHABILITATION AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:KURK
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:859-324-6380
Mailing Address - Street 1:421 S 4TH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-2083
Mailing Address - Country:US
Mailing Address - Phone:859-324-6380
Mailing Address - Fax:
Practice Address - Street 1:421 S 4TH ST STE 103
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-2083
Practice Address - Country:US
Practice Address - Phone:859-324-6380
Practice Address - Fax:866-340-7914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty