| NPI | 1215982095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP JOSEPH SMITH Physical Therapist Owner 660-263-6223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MO 2001024950) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-08-04 |