| NPI | 1093026924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE MAINS Owner/PT 606-776-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: KY 005181) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |