| Kinetic Health And Performance | |
|
5900 N Illinois St Fairview Heights IL 62208-2700 | |
| (618) 619-8200 | |
| Not Available |
| Full Name | Kinetic Health And Performance |
|---|---|
| Speciality | Clinic/center |
| Location | 5900 N Illinois St, Fairview Heights, Illinois |
| Authorized Official Name and Position | Kyle Brunsmann (SPORTS THERAPIST / FUNCTIONAL REHAB) |
| Authorized Official Contact | 6186198200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinetic Health And Performance 2706 E Main St Belleville IL 62221-5034 Ph: () - | Kinetic Health And Performance 5900 N Illinois St Fairview Heights IL 62208-2700 Ph: (618) 619-8200 |
| NPI Number | 1750929220 |
|---|---|
| Provider Enumeration Date | 12/16/2019 |
| Last Update Date | 05/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750929220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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