| NPI | 1366151821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JIMENEZ Owner 316-796-2674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2023-01-27 |