| NPI | 1043388838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL WERNER LARSON Owner 907-376-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-03-26 |