| NPI | 1679323893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENELLE HUNNICUTT Physical Therapist/Manager 816-535-4624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |