| NPI | 1497874564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY WALTER KAUMEYER Owner 708-335-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |