| NPI | 1053427740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S COOK Owner 757-591-7291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104001063) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA VA0101022154) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |