| NPI | 1558473330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY C MATHIS Owner 785-320-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-00445) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-10-10 |