| NPI | 1033420328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL WALDROP Owner 662-546-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2019-04-23 |