# THE PLATFORM PERFORMANCE AND SPORTS REHAB, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104506203
- **Authorized official:** HAILEY KAUS (PT / CO-OWNER)
- **Authorized official phone:** (602) 717-9361

## Contact information

- **Practice address:** 8996 W UNION HILLS DR STE 107, PEORIA, AZ 85382-3010
- **Practice address phone:** (602) 717-9361
- **Mailing address:** 15102 N 90TH AVE, PEORIA, AZ 85381-3520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251S0007X | Sports Physical Therapist | — | NULL | Yes |
| 2251S0007X | Sports Physical Therapist | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/24/2023
- **Last updated:** 07/24/2023