| NPI | 1790431674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY SIEFERT Owner 307-756-2013 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-05-04 |