| NPI | 1538323324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD LAVACEK Owner/Physical Therapist 316-461-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-02548) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |