| NPI | 1710618483 |
|---|---|
| Doing Business As | RED TAIL THERAPY |
| Entity Type | Organization |
| Authorized Contact | KENNETH SMITH CEO, Physical Therapist 307-368-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-08-25 |