| NPI | 1760570717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH COOKE Owner 816-679-7056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: MO R0556) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: KS 11-02878) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |