| NPI | 1366869547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA DREES Physical Therapist 620-271-8674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-00855) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |