| NPI | 1043021926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLY NICOLE THOMPSON Physical Therapist/Owner 812-243-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-01-18 |
| Last Update Date | 2025-02-04 |