Boost Sports Performance, LLC
NPI #1548428931 in Lees Summit, Missouri
Provider Information
- NPI Number
- 1548428931
- Entity Type
- Organization
- Organization Name
- Boost Sports Performance, LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jun 2, 2008
- Last Updated
- Nov 1, 2023
Practice Location
- Address
- 1254 SE CENTURY DR
- City
- Lees Summit
- State
- Missouri
- ZIP Code
- 64081-3286
- Phone
- (816) 524-1442
Authorized Official
- Name
- SAMANTHA LEE LINVILLE, PT, DPT, SCS
- Title
- OWNER
- Phone
- (816) 407-1249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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