| NPI | 1013015130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TODD STAKER President 919-460-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 2354) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 2936) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-01-27 |