| NPI | 1902338395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY ELIZABETH BAAS Physical Therapist/Owner 254-892-4957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1227305) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 76628) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: TX 00979) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2021-08-02 |