| NPI | 1548414170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANATOLY V KOLMAKOV Owner 972-612-5363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 9753) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251X0800X Physical Therapist, Orthopedic | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 225700000X Massage Therapist | |
| 225C00000X Rehabilitation Counselor | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| 226300000X Kinesiotherapist | |
| 283X00000X Rehabilitation Hospital | |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2009-04-30 |