| NPI | 1275559437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYANT V MAHURE CEO President 417-438-3467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 105033) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1102030) |
| 225100000X Physical Therapist (Licence: MO 2004823996) | |
| 225100000X Physical Therapist (Licence: KS 1102995) | |
| 225X00000X Occupational Therapist (Licence: MO 004581) | |
| 225X00000X Occupational Therapist (Licence: KS 989520) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |