Healthcare Provider Details

I. General information

NPI: 1659287720
Provider Name (Legal Business Name): KINETIC MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9033 E RIVERVIEW DR
ROGERSVILLE MO
65742-9141
US

IV. Provider business mailing address

9033 E RIVERVIEW DR
ROGERSVILLE MO
65742-9141
US

V. Phone/Fax

Practice location:
  • Phone: 417-844-5309
  • Fax:
Mailing address:
  • Phone: 417-844-5309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: CODY HOOTEN
Title or Position: MEMBER/OWNER
Credential: DPT
Phone: 417-844-5309