| NPI | 1043961410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE THOMPSON President/Owner 904-501-8221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-01-21 |