| NPI | 1609301324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA DODDS Physical Therapist Assistant 913-961-7764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-03026) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |