| NPI | 1306697818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY TYLER MILLSPAUGH Co Owner/Therapist 316-215-4719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-10-25 |