| NPI | 1164804399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY EDWARD TARRY Chiropractor 517-290-6272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NR0200X Chiropractor, Radiology |
| 111NX0100X Chiropractor, Occupational Health | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |