| NPI | 1225400575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN T SCHROCK Chiropractor 765-620-4453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: GA CHIR009579) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |