NPI | 1255571360 |
---|---|
Entity Type | Organization |
Authorized Contact | TRAVIS RUSSELL HULBERT Doctor Of Chiropractic 812-330-1234 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: IN 08002421A) |
Enumeration Date | 2009-03-02 |
Last Update Date | 2009-06-18 |