| NPI | 1215799614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH HEIDENREICH Co Owner/ Doctor Of Chiropractic 239-595-1453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |