| NPI | 1154713170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TILYR ALFRED DUNKLOW Managing Member 802-662-1047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VT 006.0109638) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VT 006.0109165) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-03-10 |