| NPI | 1104506203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAILEY KAUS PT / Co Owner 602-717-9361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |