Organization
ELITE SPORTS MEDICINE & PHYSICAL THERAPY LC
Active
Organization
ELITE SPORTS MEDICINE & PHYSICAL THERAPY LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BIAGIO D. MAZZA PT (PHYSICAL THERAPIST)
(913) 888-0014
Entity
Organization
Contact information
Practice address
12728 STATE LINE ROAD, LEAWOOD, KS 66209-1919
(913) 888-0014
(816) 941-2520
Mailing address
12728 STATE LINE RD, LEAWOOD, KS 66209-1619
(913) 888-0014
(816) 941-2520
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2006
Last updated
02/20/2020
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