| NPI | 1619785359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLEE AUSTIN Co Owner 480-550-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 101Y00000X Counselor | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2025-09-17 |