Optimum Physical Therapy & Performance Center, LLC
NPI #1255728986 in Kansas City, Missouri
Provider Information
- NPI Number
- 1255728986
- Entity Type
- Organization
- Organization Name
- Optimum Physical Therapy & Performance Center, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Apr 21, 2015
- Last Updated
- Jul 30, 2015
Practice Location
- Address
- 5501 NW 62ND TER
- Address 2
- STE 102
- City
- Kansas City
- State
- Missouri
- ZIP Code
- 64151-2411
- Phone
- (816) 547-6140
Authorized Official
- Name
- DANIEL S JACKSON, DPT
- Title
- CEO
- Phone
- (816) 547-6140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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