| NPI | 1215605464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE KIYOKI RYKMAN Owner/Operator/Lmt 512-447-4640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |