| NPI | 1053338574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN REEVES Owner 937-981-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3615) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 1539) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-04-20 |