| NPI | 1174876015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NICOLE RUSCH GARCIA Chiropractic Physician/Owner 928-854-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: AZ 8291) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2015-10-07 |