| NPI | 1124899323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHESTEN L CANTRELL Owner 540-243-9137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-02-21 |