Provider Demographics
NPI:1144839119
Name:INFINITY HEALTH AND PHYSICAL THERPY, INC
Entity type:Organization
Organization Name:INFINITY HEALTH AND PHYSICAL THERPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KISCHA
Authorized Official - Middle Name:SADONNA
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:850-264-4683
Mailing Address - Street 1:40 HONEYSUCKLE LN
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-6069
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:445 HOMER RD
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:GA
Practice Address - Zip Code:30529-1873
Practice Address - Country:US
Practice Address - Phone:850-264-4683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty