| NPI | 1366538191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C TODD Owner 316-260-6869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-01456) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-03-05 |