| NPI | 1164616512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER VAN WYHE Owner 918-274-9299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |