| NPI | 1669796371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY BENDER Owner 417-255-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 113699) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MO 2006030214) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |