Organization
BIONIC PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK HANSEN PT (PHYSICAL THERAPIST/OWNER)
(913) 226-9240
Entity
Organization
Contact information
Practice address
3800 S ELIZABETH ST, SUITE G, INDEPENDENCE, MO 64057-2650
(913) 226-9240
Mailing address
3800 S ELIZABETH ST, SUITE G, INDEPENDENCE, MO 64057-2650
(913) 226-9240
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1103527
MO
Other
Enumeration date
09/15/2013
Last updated
09/15/2013
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