| NPI | 1083971204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R. DOUGLAS METZ Chief Health Services Officer 888-848-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 175F00000X Naturopath | |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2023-04-12 |