| NPI | 1255648002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ALLEN NIEDER Owner 540-434-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: VA 0104556171) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2025-09-16 |