# ELEVATE 360 PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1346019247
- **Authorized official:** ABBY BODENHAUSEN DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (913) 638-7438

## Contact information

- **Practice address:** 2335 N BELT HWY STE A, SAINT JOSEPH, MO 64506-2269
- **Practice address phone:** (816) 689-0328
- **Practice address fax:** (816) 841-4320
- **Mailing address:** 2335 N BELT HWY STE A, SAINT JOSEPH, MO 64506-2269
- **Mailing address phone:** (816) 689-0328

## Taxonomy

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

## Other

- **Enumeration date:** 12/20/2023
- **Last updated:** 02/01/2024