| NPI | 1336335595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN M ELLSWORTH Managing Owner 828-698-4818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 5037) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2020-06-09 |