Provider Demographics
NPI:1316695919
Name:LIMITLESS PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:LIMITLESS PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAITLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LUBBERS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:918-207-7298
Mailing Address - Street 1:23052 HIGHWAY 82
Mailing Address - Street 2:
Mailing Address - City:PARK HILL
Mailing Address - State:OK
Mailing Address - Zip Code:74451-4154
Mailing Address - Country:US
Mailing Address - Phone:918-207-7298
Mailing Address - Fax:
Practice Address - Street 1:1207 S LEE ST
Practice Address - Street 2:
Practice Address - City:FORT GIBSON
Practice Address - State:OK
Practice Address - Zip Code:74434-8757
Practice Address - Country:US
Practice Address - Phone:918-207-7298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-13
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center