| NPI | 1184230690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DE JESUS Physical Therapist/Owner 316-536-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-09-20 |
| Last Update Date | 2020-09-20 |