| NPI | 1487151775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ALAN ROED Physical Therapist/Owner 712-560-0460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004816) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-06-21 |