| NPI | 1265200927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBBA KIPP Owner 231-715-6083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 374J00000X Doula |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2023-12-12 |