| NPI | 1790784924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA LYNNE HERRMAN Owner/Physical Therapist 316-201-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2022-07-21 |