| NPI | 1912896275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY MYERS Owner 262-721-7357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2026-02-12 |