| NPI | 1063563971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINT POWELL MOSES Owner 715-231-4994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 3995-012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3925-012) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-07-14 |