| NPI | 1124338074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN HENNEBERGER Chiropractor/President 716-854-1563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY x0117321) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2015-06-10 |