| NPI | 1275843625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY D. HAUGHTON President 913-432-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2016-09-08 |