NPI | 1164977898 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN TERRY GODFREY Owner/Chiropractor 260-563-9090 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002923A) |
Enumeration Date | 2016-08-23 |
Last Update Date | 2016-08-23 |