| NPI | 1043774771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LEAH MCKAIG Owner 913-940-3923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2024-08-09 |