| NPI | 1043630460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TAYLOR Owner 765-265-5741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2762) |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist (Licence: TN 10053) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2017-10-17 |