Provider Demographics
NPI:1326552993
Name:PERFECT PELVIS, LLC
Entity Type:Organization
Organization Name:PERFECT PELVIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RUSH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:816-806-7749
Mailing Address - Street 1:100 NE TUDOR RD STE 105
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-5600
Mailing Address - Country:US
Mailing Address - Phone:816-607-3747
Mailing Address - Fax:816-607-3590
Practice Address - Street 1:100 NE TUDOR RD STE 105
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-5600
Practice Address - Country:US
Practice Address - Phone:816-607-3747
Practice Address - Fax:816-607-3590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-18
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO116747225100000X
261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty