| NPI | 1790140424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD S KNAPP Owner 816-419-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 01313) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2016-01-15 |