| NPI | 1952037590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON INMAN Owner 870-203-9269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2023-04-25 |