| NPI | 1104437151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KENNEDY Owner/Therapist 989-992-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-11-03 |