| NPI | 1093337420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN MORAN KENT Owner 585-410-2081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |