Organization
PERFORMANCE ENHANCEMENT PHYSICAL THERAPY, LLC
Active
Organization
PERFORMANCE ENHANCEMENT PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERTO M SACBIBIT M.S., RPT (REGISTERED PHYSICAL THERAPIST)
(620) 421-2125
Entity
Organization
Contact information
Practice address
200 N 16TH ST, PARSONS, KS 67357-3227
(620) 421-2125
(620) 421-2195
Mailing address
PO BOX 1042, PARSONS, KS 67357-1042
(620) 421-2125
(620) 421-2195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-01971
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200677150A
—
KS
01
—
DQ8692
RAILROAD MEDICARE
KS
01
—
P00880246
RAILROAD MEDICARE
KS
Enumeration date
06/10/2010
Last updated
11/18/2021
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