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BODY GUITAR LLC NPI 1790208304


NPI Information

NPI: 1790208304
Provider Name: BODY GUITAR, LLC

Doing Business As: BODY GUITAR CLINIC

Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 17D2154887

Address:
11040 OAKMONT ST
OVERLAND PARK, KS
ZIP 66210
Phone: (913) 291-2819
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BODY GUITAR, LLC is a pain medicine physical medicine rehabilitation in Overland Park, KS. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. BODY GUITAR, LLC NPI is 1790208304. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Body Guitar Clinic.

The provider's business location address is:

11040 OAKMONT ST
OVERLAND PARK, KS
ZIP 66210-100
Phone: (913) 291-2819
Fax: (913) 291-1506

The provider's authorized official is Sean Matthew Wheeler .
The authorized official title is President and has the following contact phone number (913) 980-0832.

The CLIA number assigned to this NPI record is 17D2154887 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2017 and was last updated on 4/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain Medicine0427357KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104-27357OTHERKANSASKS MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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