| NPI | 1013109990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RICH MARINER Owner 502-695-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 4125) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 4715) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |