| NPI | 1881117471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAIN RUSSELL MACGREGOR Owner 512-840-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1212185) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1212185) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2023-08-30 |