| NPI | 1831542786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMARA HOOFNAGLE Patient Care Coordinator 816-607-7180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2016024489) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |