| NPI | 1144682220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURTIS WANKIER President 702-373-2453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |