| NPI | 1124637889 |
|---|---|
| Former Name | RYLEE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 1370) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6682) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2021-02-01 |