| NPI | 1457800443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HORNBUCKLE President 517-425-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2016-10-02 |
| Last Update Date | 2018-12-19 |