| NPI | 1508375106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN K FOX Physical Therapist/Owner 605-201-0784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-27 |