| NPI | 1982095196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI R RUNGE Physical Therapy 316-772-8638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04113) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |