| NPI | 1003202185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M O'DELL Owner 859-575-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: KY 5284) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2024-02-13 |