| NPI | 1720565583 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KENNETH WHEELER Owner/Physical Therapist 817-719-7714 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist | 
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical | 
| 2251N0400X Physical Therapist, Neurology | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2018-07-24 | 
| Last Update Date | 2022-09-16 |