Organization
BOOST PHYSICAL THERAPY & SPORT PERFORANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS NEFF (OWNER/PHYSICAL THERAPIST)
(816) 795-0434
Entity
Organization
Contact information
Practice address
1254 SE CENTURY DR, LEES SUMMIT, MO 64081-3286
(816) 524-1442
Mailing address
1254 SE CENTURY DR, LEES SUMMIT, MO 64081-3286
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
2012028521
MO
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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