| NPI | 1144697509 |
|---|---|
| Doing Business As | INTEGRATED CHIROPRACTIC AND REHAB, LLC |
| Entity Type | Organization |
| Authorized Contact | GALEN R STOLP Owner/Provider 605-977-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: SD 1193) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2016-02-19 |