| NPI | 1700081239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAREN L MARTIN Owner 307-382-3228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2025-08-27 |