| NPI | 1538394424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA PHELPS Owner 270-685-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2025-07-23 |