| NPI | 1063590396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG HINRICHS Owner 618-233-4458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070002199) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038010248) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2025-09-11 |