| NPI | 1396368395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN SHELTON Owner 859-559-7576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2025-06-26 |