| NPI | 1376208587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN LESLIE RAIBLE-WILSON Founder Physical Therapist 502-354-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2021-11-02 |