| NPI | 1164888277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY LEVINGSTON Owner 870-314-4790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 102861) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 13079) |
| 225700000X Massage Therapist | |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |