| NPI | 1649793886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD MUNSON President 606-325-7955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-10-16 |