SHREVEPORT CHIROPRACTIC

SHREVEPORT, LA
NPI1245491695
Entity TypeOrganization
Authorized ContactGRADY MICHAEL STIMITS
Owner Operator
318-429-9494
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: LA  1264)
Enumeration Date2008-06-18
Last Update Date2008-06-18
Business Address
SHREVEPORT CHIROPRACTIC
1845 LINE AVE
SHREVEPORT, LA 71101-4611
Phone number: 318-429-9494
Mailing Address
SHREVEPORT CHIROPRACTIC
1845 LINE AVE
SHREVEPORT, LA 71101-4611
Phone number: 318-429-9494