| NPI | 1235950387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN STOPHER Owner/Practice Manager 502-671-9325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |