| NPI | 1003390063 |
|---|---|
| Doing Business As | LEGACY FAMILY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | TYLER TONDERUM President 712-209-2597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2022-10-03 |