| NPI | 1699110809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS E HERNANDEZ REYES President 612-275-3958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |