| NPI | 1184838757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KEITH THOMPSON President 307-637-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: CO 5545) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-12-11 |