| NPI | 1801989876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER W OWENS Owner 573-635-9655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-05-14 |