| NPI | 1295676344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ROENIGK Owner 419-708-8256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2026-04-02 |
| Last Update Date | 2026-04-02 |