| NPI | 1114480183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KINSLOW Owner, Physical Therapist 928-326-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |