| NPI | 1164229126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORTNEY MAYBERRY Owner/Physical Therapist 417-850-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |