| NPI | 1700663275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN KING Owner/Physical Therapist 815-793-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |