| NPI | 1629423249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY SEABORN Office Manager 816-272-1427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 01316) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |