| NPI | 1134510704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN WARD Owner 814-571-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: VA 0104556919) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |