# BOOST SPORTS PERFORMANCE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boost Physical Therapy & Sports Performance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548428931
- **Authorized official:** SAMANTHA LEE LINVILLE PT, DPT, SCS (OWNER)
- **Authorized official phone:** (816) 407-1249

## Contact information

- **Practice address:** 1254 SE CENTURY DR, LEES SUMMIT, MO 64081-3286
- **Practice address phone:** (816) 524-1442
- **Practice address fax:** (816) 524-1445
- **Mailing address:** 1254 SE CENTURY DR, LEES SUMMIT, MO 64081-3286
- **Mailing address phone:** (816) 524-1442
- **Mailing address fax:** (816) 524-1445

## Taxonomy

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

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 11/01/2023