| NPI | 1659061232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SHIFFLETT Physical Therapist 270-991-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |