Healthcare Provider Details

I. General information

NPI: 1740107259
Provider Name (Legal Business Name): MOBILITY FOOT AND ANKLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 BRIGHTHURST DR
CHESTERFIELD MO
63005-1657
US

IV. Provider business mailing address

120 BRIGHTHURST DR
CHESTERFIELD MO
63005-1657
US

V. Phone/Fax

Practice location:
  • Phone: 785-850-0040
  • Fax:
Mailing address:
  • Phone: 785-850-0040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. QOSSAY TAKROORI
Title or Position: PODIATRIST
Credential: DPM
Phone: 785-850-0040