| NPI | 1235633454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB REED SCALF Owner 606-546-6907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-03-20 |