| NPI | 1790081271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANE D SMITH Owner 620-343-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 0105155) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-02764) |
| 225100000X Physical Therapist (Licence: KS 1102202) | |
| 225200000X Physical Therapy Assistant (Licence: KS 1400129) | |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-03-07 |