| NPI | 1821681792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY MIDKIFF Owner/Physical Therapist 270-557-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2025-04-16 |