| NPI | 1093118267 |
|---|---|
| Doing Business As | OPTIMAL SPINE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KYLE WESLEY JENSEN Chiropractor 913-439-9645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |