Provider Demographics
NPI:1518508308
Name:ALLI BRATTIN-VOLKENS DPT LLC
Entity Type:Organization
Organization Name:ALLI BRATTIN-VOLKENS DPT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:BRATTIN-VOLKENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-939-0304
Mailing Address - Street 1:3624 SW WINDSONG DRIVE
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64082
Mailing Address - Country:US
Mailing Address - Phone:319-939-0304
Mailing Address - Fax:
Practice Address - Street 1:2305 W 143RD ST
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66224-5909
Practice Address - Country:US
Practice Address - Phone:319-939-0304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy