| NPI | 1326614736 |
|---|---|
| Former Legal Business Name | THE LONGEVITY LOCALE |
| Entity Type | Organization |
| Authorized Contact | ERIC EDUARDO VARGAS Owner, Physical Therapist 913-461-7418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2023-06-04 |