Organization · NPI-2

Empowerme Wellness Kansas City, LLC

Clinic/Center, Multi-Specialty · Muskogee, OK

NPI number1366024077

StatusActive

Last updated in NPPESOct 2, 2024

Details

NPI: 1366024077
Entity type: Organization (NPI-2)
Legal business name: Empowerme Wellness Kansas City, LLC
Organization subpart: No
Enumeration date: Apr 22, 2021
Certification date: Oct 2, 2024
Last updated: Oct 2, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM1300X	Clinic/Center, Multi-Specialty	–	–	Yes
225100000X	Physical Therapist	–	–
225X00000X	Occupational Therapist	–	–
235Z00000X	Speech-Language Pathologist,	–	–

Practice location

611 S Country Club Rd
Muskogee, OK 74403-6222

Phone 844-502-9996

Mailing address

1335 Strassner Dr
Brentwood, MO 63144-1872

Phone 844-502-9996

Authorized official

John David Church
Vice President Of Finance
6189725228

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