| Pure Movement Integrated Health Center Llc | |
|
13100 Kansas Ave Ste C Bonner Springs KS 66012-9296 | |
| (913) 745-4036 | |
| (913) 745-4334 |
| Full Name | Pure Movement Integrated Health Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13100 Kansas Ave Ste C, Bonner Springs, Kansas |
| Authorized Official Name and Position | Dani Steffen (OWNER) |
| Authorized Official Contact | 9137454036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Movement Integrated Health Center Llc 13100 Kansas Ave Suite H Bonner Springs KS 66012-9207 Ph: (913) 745-4036 | Pure Movement Integrated Health Center Llc 13100 Kansas Ave Ste C Bonner Springs KS 66012-9296 Ph: (913) 745-4036 |
| NPI Number | 1669746574 |
|---|---|
| Provider Enumeration Date | 02/24/2012 |
| Last Update Date | 10/13/2023 |
| Medicare PECOS PAC ID | 3375702475 |
|---|---|
| Medicare Enrollment ID | O20120308000828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669746574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 01-05409 (Kansas) | Primary |
| Provider Name | Kelly M Svitak |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356657175 PECOS PAC ID: 2163611229 Enrollment ID: I20120308000857 |
| Provider Name | Ana Rebecca Rentas |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861817033 PECOS PAC ID: 0648563494 Enrollment ID: I20160801001865 |
| Provider Name | Dani Dolores Steffen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609431501 PECOS PAC ID: 0244573145 Enrollment ID: I20190516001326 |
| Provider Name | Courtney D Vandervoort |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174006613 PECOS PAC ID: 3779914908 Enrollment ID: I20200504000674 |
Providence Care An Operating Division Of Providence Medical Ctr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 913 Sheidley Ave, Bonner Springs, KS 66012 Phone: 913-322-7222 Fax: 913-322-7284 |