| NPI | 1801943527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PAUL RIEG Owner 316-634-3409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 0423692) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |