| NPI | 1871079830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER RENO Owner 928-440-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2025-05-29 |