Organization
OPTIMUM PHYSICAL THERAPY & PERFORMANCE CENTER, LLC
Active
Other names
Optimum Physical Therapy and Performance Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL S JACKSON DPT (CEO)
(816) 547-6140
Entity
Organization
Contact information
Practice address
5501 NW 62ND TER, STE 102, KANSAS CITY, MO 64151-2411
(816) 547-6140
Mailing address
3610 NW 86TH CT, KANSAS CITY, MO 64154-1283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
07/30/2015
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