| NPI | 1710352877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LYNN WIMMER President 620-249-0058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-1218) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2023-02-18 |