| NPI | 1578072377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHANE KATZ Physical Therapist / Owner 316-263-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2018-03-17 |