| NPI | 1033668777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA LYNN LANTRIP Physical Therapist/Owner 270-929-9396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 006052) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |