| NPI | 1700878444 |
|---|---|
| Doing Business As | KELLY HAWKINS PHYSICAL THERAPY WORKS |
| Entity Type | Organization |
| Authorized Contact | THOMAS W CHYNOWETH Owner 702-876-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2009-03-23 |