| NPI | 1710257928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GIANFORTE Owner 913-441-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2021-04-20 |