| NPI | 1003096363 | 
|---|---|
| Other Name | RENAISSANCE CHIROPRACTIC & BODYWORK | 
| Entity Type | Organization | 
| Authorized Contact | REBECCA DAWN CARLSON Owner/Operator 602-712-9444 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5145) | 
| Enumeration Date | 2007-11-05 | 
| Last Update Date | 2007-11-05 |