Provider Demographics
NPI:1326614736
Name:TRUEFIX PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:TRUEFIX PHYSICAL THERAPY LLC
Other - Org Name:THE LONGEVITY LOCALE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:EDUARDO
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:913-461-7418
Mailing Address - Street 1:10561 BARKLEY ST STE 104
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1860
Mailing Address - Country:US
Mailing Address - Phone:913-461-7418
Mailing Address - Fax:
Practice Address - Street 1:10561 BARKLEY ST STE 104
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1860
Practice Address - Country:US
Practice Address - Phone:913-461-7418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-27
Last Update Date:2023-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy