| NPI | 1053680272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M BUEHLER Athletic Trainer 308-631-5364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: MO 2011025406) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |