Thomas Hargrave, DPT, ATC, CSCS | |
3801 Selsa Rd Ste 7, Independence, MO 64057-1712 | |
(816) 795-0434 | |
Not Available |
Full Name | Thomas Hargrave |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 3801 Selsa Rd Ste 7, Independence, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467973412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251S0007X | Physical Therapist - Sports | 2017021415 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boost Sports Performance Llc | 8921171604 | 10 |
Provider Name | Boost Sports Performance Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548428931 PECOS PAC ID: 8921171604 Enrollment ID: O20080715000245 |
Mailing Address | Practice Location Address |
---|---|
Thomas Hargrave, DPT, ATC, CSCS 2923 Nw Mill Dr, Blue Springs, MO 64015-3479 Ph: (660) 646-9043 | Thomas Hargrave, DPT, ATC, CSCS 3801 Selsa Rd Ste 7, Independence, MO 64057-1712 Ph: (816) 795-0434 |
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