| NPI | 1952586430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON S LANGFORD Clinic Manager 913-351-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03375) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2012-11-01 |