| NPI | 1255125670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX JUTIS CEO 678-730-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |