Kea Sports Company
Organization Active NPI Physical Therapist · Plano, IL
NPI 1497500748 · NPPES record last updated Apr 20, 2024
Key facts
- NPI
- 1497500748
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- KEA SPORTS COMPANY
- Practice address
- 806 W Jones St
Plano, IL 60545-1839 - Phone
- (613) 917-9322
- NPI assigned
- Apr 20, 2024
- Organization subpart
- No
Authorized official
- Name
- Terrance Hooks
- Title
- Manager
- Phone
- (613) 917-9318
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
806 W Jones St
Plano, IL 60545-1839
Mailing address
806 W Jones St
Plano, IL 60545-1839
Other providers in Plano, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.