| NPI | 1023717782 |
|---|---|
| Doing Business As | WAVE INTEGRATIVE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | STEPHEN GARY GUMPENBERGER Owner 620-960-8642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-04-03 |