| NPI | 1730881293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN DAVIS Owner, Physical Therapist 402-366-5872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |