| NPI | 1598008294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH B DOMINGUEZ President 816-569-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 2011009759) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: KS 1104232) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: KS 1103922) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 2003007571) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 2002001989) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2025-04-09 |