Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1124837612 |
| LBN Legal business name | SOLID ROCK THERAPY, LLC. |
| Authorized official | KELSEY PROTHRO - (OWNER/MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/30/2024 |
| Last updated | 04/23/2025 - More than a year ago |
| Identifiers | n/a |
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