| NPI | 1174163000 |
|---|---|
| Other Name | THE JAW THERAPIST, LLC |
| Entity Type | Organization |
| Authorized Contact | BRADLEY ANTHONY BASCH Owner 828-407-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-04-02 |