| NPI | 1508455049 |
|---|---|
| Doing Business As | CULTIVATE WELLNESS & SPORTS REHAB |
| Entity Type | Organization |
| Authorized Contact | JORDAN COULON Owner 432-262-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |