| NPI | 1790446789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L JOHNSON Owner/Physical Therapist 928-537-8196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-06-09 |