NPI | 1700360419 |
---|---|
Former Legal Business Name | ELITE THERAPY, LLC |
Entity Type | Organization |
Authorized Contact | ELIZABETH C NEWBY Owner 913-706-0362 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
Enumeration Date | 2018-09-18 |
Last Update Date | 2019-07-11 |