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 |