NPI | 1740843697 |
---|---|
Other Name | AXIAL MEDICINE |
Entity Type | Organization |
Authorized Contact | MOLLIE S WILSON Authorized Official 913-499-9885 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
Additional Taxonomies | 2251N0400X Physical Therapist, Neurology |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2019-04-17 |
Last Update Date | 2025-01-20 |