| NPI | 1891339719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J HLAVACEK Autorized Official 316-682-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |