| NPI | 1184061160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM MARK Owner 308-633-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 10176553) |
| 171100000X Acupuncturist | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2021-04-19 |