| NPI | 1427577378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS DEE SELLERS Owner/PT 208-313-7687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ 9953) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-07-21 |