| NPI | 1730892456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY HEATH ASHBY COO 405-924-9841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2022-12-27 |