| NPI | 1285772970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD D NICHOLSON President Physical Therapist 712-732-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA M096051) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IA M096051) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |