| NPI | 1174576177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M. BALCIRAK Owner/President 859-268-8190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 100890) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-04-13 |