| NPI | 1689034472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT DO Md/CEO 913-232-9846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 225100000X Physical Therapist | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2019-04-02 |