| NPI | 1225150634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT HAAS Manager 540-389-7466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104000786) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104000814) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |