| NPI | 1053531756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON C WENBURG Part Owner/ PT 308-534-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2021-07-01 |