| NPI | 1104331693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHNSON ALLEGRI Owner 913-568-5977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KS 11-00002) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-00451) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |