| NPI | 1235910514 |
|---|---|
| Former Legal Business Name | COLUMBINE CHIROPRACTIC |
| Doing Business As | MAT-SU CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LAUREN MIKAYLAH LUETH Owner, Chiropractor 907-232-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |