| NPI | 1326552993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ANN RUSH Owner 816-806-7749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 116747) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-11-18 |
| Last Update Date | 2024-06-11 |