| NPI | 1144404666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN P RIEG Owner 316-634-3409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 04-23692) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2008-04-24 |