Edward Pilgrim

NPI 1669032249 · on the registry since 2019

Practice

Address: 1254 Se Century Dr
Lees Summit, MO 64081
Phone: (816) 524-1442
Organisation at this address: Boost Sports Performance, Llc
Boost Physical Therapy & Sport Perforance
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri