| NPI | 1770966541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN YOUNG Owner/Physical Therapist 316-650-5956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1104016) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2022-03-09 |