| NPI | 1114133931 |
|---|---|
| Other Name | MIKOTA CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRUCE D MIKOTA Owner 864-489-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2012-01-25 |