| NPI | 1255943098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANNA RISOLI Physical Therapist, Owner 307-439-4257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2020-08-31 |