| NPI | 1275825739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA SHUNN Independent Practitioner 512-707-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |