| NPI | 1235552837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRAN SANDRAPATY Owner 803-252-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 1024) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 2879) |
| 174400000X Specialist (Licence: SC 29291) | |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2025-06-09 |