| NPI | 1144489246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY RAY ATCHISON Owner 618-244-3958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IL 38003789) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |