| NPI | 1043860166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ELLIS BLOOMFIELD Doctor Of Physical Therapy 785-313-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |