| NPI | 1174089783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CARPENTER Doctor Of Physical Therapy 320-414-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-08-02 |