| NPI | 1780157172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHSEN TAHANI Owner 816-655-5270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-06-19 |