| NPI | 1063644847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARIE HATH President/Doctor 612-207-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9762) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |