| NPI | 1124601331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE PATRICK FAHEY Founder/Physical Therapist 765-592-2283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |