NPI | 1063984045 |
---|---|
Doing Business As | EVOLVED HEALTH CHIROPRACTIC & SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | JAMES C ELLIS Owner/Member 781-460-0939 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2019-01-01 |
Last Update Date | 2022-02-28 |