| NPI | 1114322807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL HUMPHREYS President/Owner 520-868-0098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5881) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |