| NPI | 1215667795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN WADE BLANKENSHIP Owner/Physical Therapist 469-585-2327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-06-16 |