| NPI | 1821681792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY MIDKIFF Owner/Physical Therapist 270-557-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-02-11 |