Organization
ENHANCE PERFORMANCE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASSANDRA J SCHUPPE PT, DPT, CSMT (PRESIDENT)
(970) 580-8190
Entity
Organization
Contact information
Practice address
214 W VAN DORN ST, POLK CITY, IA 50226-2290
(970) 580-8190
Mailing address
2446 E PORTER AVE, DES MOINES, IA 50320-4718
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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