| NPI | 1235319351 |
|---|---|
| Doing Business As | HEALTHSOURCE CHIROPRACTIC & PROGRESSIVE REHAB |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRANDON PETTKE President/Owner 817-297-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 9711) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2009-08-24 |