| NPI | 1821548157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE KEENE President 615-988-0731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 174400000X Specialist |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2020-09-16 |