# BOOST PHYSICAL THERAPY & SPORT PERFORANCE

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

## Provider details

- **NPI number:** 1881942571
- **Authorized official:** TRAVIS NEFF (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (816) 795-0434

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251S0007X | Sports Physical Therapist | 2012028521 | MO | Yes |

## Other

- **Enumeration date:** 08/28/2012
- **Last updated:** 08/28/2012