| NPI | 1548884935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIERRA RACHELLE LARSEN Owner, Physical Therapist 402-618-3320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2024-07-10 |