| NPI | 1093380933 |
|---|---|
| Former Name | SAVANNAH KISLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 7205) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61511344) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2024-11-26 |