| NPI | 1255544045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN A COTTRELL Owner 304-776-7290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: WV 671) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2021-10-05 |