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General NPI Number Information
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NPI Number | 1639047210
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Entity Type | Organization
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Legal Business Name | LIGHTNING PERFORMANCE SOLUTIONS, LLC
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 7211 NW 83RD ST STE 160
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City | KANSAS CITY
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State | MO
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Zip | 64152-6022
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Country | US
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Telephone | 816-945-4048
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Fax | 816-479-6746
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Provider Business Mailing Address
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Address Line | 7211 NW 83RD ST STE 160
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City | KANSAS CITY
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State | MO
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Zip | 64152-6022
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Country | US
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Telephone | 816-945-4048
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Fax | 816-479-6746
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Authorized Official
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Title or Position | OWNER
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Name | BRETT J MCQUEEN
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Credential | ATC
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Telephone | 417-294-2716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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