Organization
PROLIFIC PHYSICAL THERAPY LLC
Active
Organization
PROLIFIC PHYSICAL THERAPY LLC
Active
Other names
Prolific PT Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC LOGAN MILLER (OWNER)
(816) 810-1849
Entity
Organization
Contact information
Practice address
129 SE 3RD ST, LEES SUMMIT, MO 64063-2719
(816) 810-1849
Mailing address
129 SE 3RD ST, LEES SUMMIT, MO 64063-2719
(816) 810-1849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/29/2024
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