MEDICARE: HYPERBARIC HEALING INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1366591216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HYPERBARIC HEALING INSTITUTE

Provider Business Mailing Address
First Line	:	10060 NW PRAIRIE VIEW RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64153-1344
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10060 NW PRAIRIE VIEW RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64153-1344
Country	:	US
Telephone Number	:	816-801-7878
Fax Number	:	816-801-7879

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID DEISTER
Credential	:
Telephone Number	:	816-801-7878

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	08/22/2020

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Directions to “HYPERBARIC HEALING INSTITUTE ” Practice Location

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