| NPI | 1225130453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY KISER CROUCH Chiropractic Physician 304-344-9077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WV 383) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2012-04-25 |