Organization
MISSOURI FITNESS PHYSIO, LLC
Active
Organization
MISSOURI FITNESS PHYSIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC DOUEK (OWNER)
(919) 327-7697
Entity
Organization
Contact information
Practice address
900 NE DEERBROOK ST, LEES SUMMIT, MO 64086-8411
(855) 749-7561
Mailing address
1714 CANTERBURY RD, RALEIGH, NC 27608-1110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/24/2026
Last updated
08/24/2026
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