Kea Sports Company

NPI #1497500748 in Plano, Illinois

Provider Information

NPI Number: 1497500748
Entity Type: Organization
Organization Name: Kea Sports Company
Primary Specialty: Physical Therapist
Enumeration Date: Apr 20, 2024
Last Updated: Apr 20, 2024

Practice Location

Address: 806 W JONES ST
City: Plano
State: Illinois
ZIP Code: 60545-1839
Phone: (613) 917-9322

Authorized Official

Name: TERRANCE HOOKS
Title: MANAGER
Phone: (613) 917-9318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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