| NPI | 1447843909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYON D. THOMPSON Owner, Physical Therapist 270-307-2146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-03-08 |