| NPI | 1497490668 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | EMILIE SCHMIDT Owner/Founder 910-381-5375  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy | 
| Additional Taxonomies | 133V00000X Dietitian, Registered | 
| 225100000X Physical Therapist | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2022-05-03 | 
| Last Update Date | 2022-05-03 |