| NPI | 1124267604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY LEE VAN ROOY Chiropractor/Owner 859-268-7501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: KY 5077) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: KY 5038) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-02-06 |