| NPI | 1013395318 |
|---|---|
| Doing Business As | INTEGRATIVE CHIROPRACTIC AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DONALD LEE FITZGERALD Owner 502-618-3060 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |