Healthcare Provider Details

I. General information

NPI: 1740925536
Provider Name (Legal Business Name): LEE HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2022
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25405 E 30TH ST S
BLUE SPRINGS MO
64015-1154
US

IV. Provider business mailing address

25405 E 30TH ST S
BLUE SPRINGS MO
64015-1154
US

V. Phone/Fax

Practice location:
  • Phone: 816-721-8254
  • Fax:
Mailing address:
  • Phone: 816-721-8254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CRAIG H LEE
Title or Position: OWNER
Credential: PT, DPT
Phone: 816-721-8254