| NPI | 1275146474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYTLYN WELLS Physical Therapist/Owner & Manager 573-247-9443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |