| NPI | 1255013082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON PETTIET VP Revenue 346-646-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |