| NPI | 1467165910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN DAVIS Owner/Physical Therapist 402-366-5872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2023-03-20 |