| NPI | 1144673278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY G NOVICKY Chiropractor/Owner 330-550-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 4064) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-10-13 |