| NPI | 1235603200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN DANIEL TRAVIS Doctor/Owner 479-521-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2024-03-26 |