| NPI | 1235352022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY G BARNETT President 316-558-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 225100000X Physical Therapist |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |