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 |