NPI | 1194926519 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDEN K BUCKLEY Owner 717-633-5411 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC007805L) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC004120L) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2020-08-22 |