NPI | 1992912372 |
---|---|
Entity Type | Organization |
Authorized Contact | TRAVIS LEE KRUTSINGER Chief Executive Officer 641-342-1470 |
Organization Subpart ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 00581) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 00705) |
225100000X Physical Therapist (Licence: IA 03688) | |
225200000X Physical Therapy Assistant (Licence: IA 000103) | |
Enumeration Date | 2007-05-16 |
Last Update Date | 2015-08-20 |