| NPI | 1770628620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP L LOYD Owner 417-869-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2011-09-23 |