| NPI | 1154811412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROCK JOHNSON Owner, CEO 479-935-6021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 16072) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| Enumeration Date | 2018-05-12 |
| Last Update Date | 2022-11-10 |