NPI | 1144672031 |
---|---|
Doing Business As | FOUNDATION CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | GARRETT GRIPP Owner 309-714-1583 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2016-07-05 |
Last Update Date | 2016-07-05 |