| NPI | 1366904880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE BURTON Owner / Physical Therapist 620-680-0582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-08-05 |