| NPI | 1225582083 |
|---|---|
| Former Name | SAVANNA NICOLE THORNTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 106659) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IA 087883) | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2021-04-13 |