Boost Sports Performance, Llc in Lees Summit - Physical Therapy
Boost Sports Performance, Llc - NPI 1548428931
Boost Sports Performance, Llc is a Physical Therapy in Lees Summit, Missouri. Boost Sports Performance, Llc practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Boost Sports Performance, Llc is 1548428931. The last update date is 2023-11-01.
Boost Sports Performance, Llc's current location address is 1254 Se Century Dr, Lees Summit, Missouri. You can contact this provider via phone number 8165241442 and fax number 8165241445. The mailing address for Boost Sports Performance, Llc is 1254 Se Century Dr, Lees Summit, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Boost Sports Performance, Llc |
|---|---|
| Address | 1254 Se Century Dr, Lees Summit, Missouri |
| Phone Number | 8165241442 |
| Fax Number | 8165241445 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Linville Lee Samantha |
| Credentials | PT, DPT, S |
| Telephone Number | 8164071249 |
NPI Number Detail
| NPI Number | 1548428931 |
|---|---|
| Provider Enumeration Date | 2008-06-02 |
| Last Updated Date | 2023-11-01 |
Provider Mailing Address Detail
| Address | 1254 Se Century Dr |
|---|---|
| City | Lees Summit |
| State | Missouri (MO) |
| Post Code | 640813286 |
| Phone Number | 8165241442 |
| Fax Number | 8165241445 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical a |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MA1102 | MO | MEDICARE PTAN | |
| MA5234 | MO | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Boost Sports Performance, Llc by the Centers for Medicare & Medicaid Services?
The Boost Sports Performance, Llc has been issued the NPI (National Provider Identifier) 1548428931, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Boost Sports Performance, Llc?
The Boost Sports Performance, Llc is physically situated at 1254 Se Century Dr, in the city of Lees Summit, state of MO, with the postal code 640813286.
What is Boost Sports Performance, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Boost Sports Performance, Llc's specialized field of practice is Physical Therapy, and the corresponding taxonomy code that categorizes this area of specialization is 261Qp2000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1548428931 to Boost Sports Performance, Llc?
The Centers for Medicare & Medicaid Services assigned the 1548428931 to Boost Sports Performance, Llc on 2008-06-02.
When was the information related to Boost Sports Performance, Llc most recently updated or refreshed?
The details pertaining to the Boost Sports Performance, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-11-01.
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