| NPI | 1134695711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FAUERBACH Owner/Chiropractor 843-856-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2023-08-16 |