| NPI | 1740439355 |
|---|---|
| Former Legal Business Name | SPINE & SPORT REHABILITATION, PA |
| Entity Type | Organization |
| Authorized Contact | RYAN SCHELL Co Owner 913-393-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 05-35619) |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: KS 05-29538) |
| 225100000X Physical Therapist (Licence: KS 11-01788) | |
| 111N00000X Chiropractor (Licence: KS 01-05065) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2012-04-07 |