| NPI | 1255117925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN BUMGUARDNER Owner 325-660-3266 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225700000X Massage Therapist | |
| 103TE1100X Psychologist, Exercise & Sports | |
| 111NS0005X Chiropractor, Sports Physician | |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |