DIANA ANDERSON

BOOST SPORTS PERFORMANCE LLC

Dr DIANA ANDERSON is a female medical professional, specializing in Physical Therapy. She graduated in 2017.

Contact

BOOST SPORTS PERFORMANCE LLC

3801 SELSA RD
SUITE 7
INDEPENDENCE
MO
640571712

Tel: 8167950434

DIANA ANDERSON Information

Npi 1902358948
Pac Id 7719250695
Professional Enrollment Id I20170829003675
Last Name ANDERSON
First Name DIANA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BOOST SPORTS PERFORMANCE LLC
Group Practice Pac Id 8921171604
Number Of Group Practice Members 15
Line 1 Street Address 3801 SELSA RD
Line 2 Street Address SUITE 7
Marker Of Address Line 2 Suppression
City INDEPENDENCE
State MO
Zip Code 640571712
Phone Number 8167950434
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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