| NPI | 1558486670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT E PHISTER Physical Therapist Owner 307-856-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |