Organization
KINETIC HEALTH AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE BRUNSMANN LMT, MSR (SPORTS THERAPIST / FUNCTIONAL REHAB)
(618) 619-8200
Entity
Organization
Contact information
Practice address
5900 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-2700
(618) 619-8200
Mailing address
2706 E MAIN ST, BELLEVILLE, IL 62221-5034
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
05/15/2020
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