| NPI | 1184627911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA BRUMMUND Revenue Cycle Director 308-675-1853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 681) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2024-09-03 |