| 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 |