| NPI | 1629541982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADY S. STOKES Physical Therapist/Owner 307-679-4959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |