| NPI | 1427401702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY BALL Owner 417-494-4102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2023-10-18 |