| NPI | 1235374349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE HEINZE Office 270-881-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 4385) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 4436) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2012-09-19 |