| NPI | 1235766023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN COOK Owner 316-835-7013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-10-13 |