| NPI | 1073960746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DECKER Physician/Owner 816-896-1355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20a13087) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |