| NPI | 1518403252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SLADER AGEE President & CEO 479-249-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 172M00000X Mechanotherapist |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |