| NPI | 1083710040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D KEISTER Owner President 806-358-6847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1000073) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1000875) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |