# KINETIC HEALTH AND PERFORMANCE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1750929220
- **Authorized official:** MR. KYLE BRUNSMANN LMT, MSR (SPORTS THERAPIST / FUNCTIONAL REHAB)
- **Authorized official phone:** (618) 619-8200

## Contact information

- **Practice address:** 5900 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-2700
- **Practice address phone:** (618) 619-8200
- **Mailing address:** 2706 E MAIN ST, BELLEVILLE, IL 62221-5034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2019
- **Last updated:** 05/15/2020