NPI | 1245608603 |
---|---|
Doing Business As | SUMMIT PHYSICAL & SPORTS THERAPY |
Entity Type | Organization |
Authorized Contact | KRISTOPHER S NELSON Physical Therapist/Owner 307-875-4654 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2015-09-02 |
Last Update Date | 2015-09-24 |