| NPI | 1326757907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ANDREW SCHAAL Vice President/Operations 573-825-7432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2022-11-22 |