| NPI | 1376150631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY PETERSON Owner, Physical Therapist 913-303-0978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2022-12-20 |