NPI | 1861657512 |
---|---|
Doing Business As | INSIDE SPORTS CLINIC |
Entity Type | Organization |
Authorized Contact | ANTHONY S PHILLIPS Clinic Director/Physician 913-888-4845 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: KS 0104294) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2006021696) |
Enumeration Date | 2008-07-22 |
Last Update Date | 2009-06-03 |