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Contact Information

PROACTIVE PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC
623 S WASHINGTON STREET
CHILLICOTHE, MO64601
 Phone: 660-973-7364
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for PROACTIVE PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC

NPI Number 1083455638
LBN Legal business name PROACTIVE PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC
Authorized official CLINTON SINGLETON - (OWNER, DOCTOR OF PHYSICAL THERAPY)
Entity Organization
Organization subpart 1 No
Enumeration date 06/05/2024
Last updated 06/05/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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