| NPI | 1740644228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ENZWEILER Atc 859-486-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: At 004889) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |