| NPI | 1518393545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA PETERSEN Director 913-345-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: KS 11-04665) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |