| NPI | 1760134803 |
|---|---|
| Doing Business As | LONG RUN PHYSIOTHERAPY & PERFORMANCE |
| Entity Type | Organization |
| Authorized Contact | RYAN WOODERSON Staff Therapist 620-921-5446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |