Provider Demographics
NPI:1669501631
Name:TRUMOVE PHYSICAL THERAPY
Entity Type:Organization
Organization Name:TRUMOVE PHYSICAL THERAPY
Other - Org Name:TRUMOVE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REVENUE CYCLE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:EVONNE
Authorized Official - Last Name:WOODRUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-642-7746
Mailing Address - Street 1:7279 W 105TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2515
Mailing Address - Country:US
Mailing Address - Phone:913-642-7746
Mailing Address - Fax:913-642-7745
Practice Address - Street 1:7279 W 105TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2515
Practice Address - Country:US
Practice Address - Phone:913-642-7746
Practice Address - Fax:913-642-7745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-03562225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty