| NPI | 1891186722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE E SMITH President 701-652-7179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: ND 0942) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |