| NPI | 1053529958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN THOMAS TYSON Owner, Chiropractor 928-776-8864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: AZ 7374) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-04-20 |