| NPI | 1659783942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE NICOLE MALLOY Owner, Physical Therapist 660-258-8645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MO 2010024372) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |