| 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 |