| NPI | 1083943484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN D TREMBUSH Owner/Operator 304-225-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WV 769) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 2330) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2010-11-01 |