Organization
PRO KINETIX PHYSICAL THERAPY & PERFORMANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN JOHN BAGGE (CEO)
(319) 327-1332
Entity
Organization
Contact information
Practice address
2345 BROADWAY, OAKLAND, CA 94612-2414
(319) 327-1332
Mailing address
1706 KEOKUK AVE, INDEPENDENCE, IA 50644-9227
(319) 327-1332
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
05/13/2019
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