| NPI | 1437987740 |
|---|---|
| Former Legal Business Name | EDGE OSTEOPRACTIC PHYSICAL THERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | NICHOLAUS HANSEN Owner 502-500-4587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-26 |