| NPI | 1093780645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIOUX KEARNES Office Manager 816-233-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2024-07-03 |