| NPI | 1679036206 |
|---|---|
| Doing Business As | ADVANCED THERAPY & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KEVYN SOUPISET Owner 620-792-7868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2023-01-26 |