| NPI | 1841034535 |
|---|---|
| Doing Business As | REVIVE THERAPY AND PERFORMANCE |
| Entity Type | Organization |
| Authorized Contact | JESSANNA GRAYCE SCHUMANN Director Of Operations 620-217-0583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| 2251N0400X Physical Therapist, Neurology | |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225X00000X Occupational Therapist | |
| 225XH1200X Occupational Therapist, Hand | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| 225XR0403X Occupational Therapist, Driving and Community Mobility | |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-19 |