| NPI | 1144912106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE R SPADING President/Owner 319-350-0921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2081P0004X Physical Medicine & Rehabilitation Spinal Cord Injury Medicine | |
| 225C00000X Rehabilitation Counselor | |
| 225CA2500X Rehabilitation Counselor Assistive Technology Supplier | |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |