# DYNAMIC PHYSICAL THERAPY AND SPORTS PERFORMANCE

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

## Provider details

- **NPI number:** 1962142562
- **Authorized official:** MS. PATRICIA A MARTINEZ (BILLING MANAGER)
- **Authorized official phone:** (417) 894-3948

## Contact information

- **Practice address:** 16914 STATE HIGHWAY 13, BRANSON WEST, MO 65737-9670
- **Practice address phone:** (417) 272-3909
- **Practice address fax:** (417) 272-3918
- **Mailing address:** PO BOX 261, KIMBERLING CITY, MO 65686-0261
- **Mailing address phone:** (417) 272-3909
- **Mailing address fax:** (417) 272-3918

## Taxonomy

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

## Other

- **Enumeration date:** 03/31/2022
- **Last updated:** 04/05/2022