| NPI | 1740925536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG H LEE Owner 816-721-8254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2025-06-11 |