| NPI | 1083048482 |
|---|---|
| Former Legal Business Name | PHORMATION CHIROPRACTIC & DAY SPA |
| Entity Type | Organization |
| Authorized Contact | CHERA LYNN HEATH Cinic Director / Owner 907-262-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 923462) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2015-03-25 |