| 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 | 2025-03-05 |