| NPI | 1912643081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL TYLER NOLL Owner/Physical Therapist 913-210-0734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-16 |