| NPI | 1063448801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN G POSS Co Owner 712-234-8760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2015-09-18 |