| NPI | 1780168757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES CHUMLEY Owner/Physical Therapy Assistant 859-907-0392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |