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Organization
MOTUS BIOLOGICS AND SPORTS MEDICINE LLC
Active
Organization
MOTUS BIOLOGICS AND SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE A MICHAUD M.D. (OWNER)
(913) 808-5275
Entity
Organization
Contact information
Practice address
5525 W 119TH ST, STE 250, OVERLAND PARK, KS 66209-3724
(913) 808-5275
(913) 257-5150
Mailing address
5525 W 119TH ST, STE 250, OVERLAND PARK, KS 66209-3724
(913) 808-5275
(913) 257-5150
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
04-36559
KS
261QA1903X
Ambulatory Surgical Clinic/Center
04-36559
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108000021
PTAN
—
Enumeration date
06/27/2016
Last updated
03/23/2017
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