Kinetic Health and Performance

NPI #1750929220 in Fairview Heights, Illinois

Provider Information

NPI Number: 1750929220
Entity Type: Organization
Organization Name: Kinetic Health and Performance
Primary Specialty: Clinic/Center
Enumeration Date: Dec 16, 2019
Last Updated: May 15, 2020

Practice Location

Address: 5900 N ILLINOIS ST
City: Fairview Heights
State: Illinois
ZIP Code: 62208-2700
Phone: (618) 619-8200

Authorized Official

Name: MR. KYLE BRUNSMANN, LMT, MSR
Title: SPORTS THERAPIST / FUNCTIONAL REHAB
Phone: (618) 619-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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