Organization
IMPACT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN LIGESKI (OWNER)
(815) 207-0124
Entity
Organization
Contact information
Practice address
10327 W 84TH TER, LENEXA, KS 66214-1639
(815) 207-0124
Mailing address
10327 W 84TH TER, LENEXA, KS 66214-1639
(815) 207-0124
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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