NPI | 1548428931 |
---|---|
Doing Business As | BOOST PHYSICAL THERAPY & SPORTS PERFORMANCE |
Entity Type | Organization |
Authorized Contact | SAMANTHA LEE LINVILLE Owner 816-407-1249 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2008-06-02 |
Last Update Date | 2023-11-01 |