| NPI | 1609581123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOGAN MADDING Director Of Business Operations 316-260-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-05-08 |