NPI | 1245491695 |
---|---|
Entity Type | Organization |
Authorized Contact | GRADY MICHAEL STIMITS Owner Operator 318-429-9494 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1264) |
Enumeration Date | 2008-06-18 |
Last Update Date | 2008-06-18 |