| NPI | 1922642016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACY RAE BUFFINGTON Owner/Physical Therapist 605-375-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |