| NPI | 1952337404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA LEE BOUCKHOUT CEO/President 913-792-7279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: KS 11-01611) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2014-12-31 |