| NPI | 1023246964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL MUTHERSBAUGH President 203-333-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-10-08 |