| NPI | 1699443119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA WALDKIRCH Owner 859-585-7338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |