| NPI | 1487107785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER N BOWLING Physical Therapist 606-672-6683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: KY 005735) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: KY 005735) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2017-08-28 |