| NPI | 1700442928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN HOSLER Owner 260-224-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-07-18 |