NPI | 1255664116 |
---|---|
Doing Business As | PREMIER CHIROPRACTIC & SPORTS INJURY CENTER |
Entity Type | Organization |
Authorized Contact | CHERYL KAY LARSON Office Manager 907-262-0801 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: AK 396) |
Additional Taxonomies | 111NR0400X (Licence: AK 396) |
225100000X Physical Therapist | |
225700000X Massage Therapist | |
Enumeration Date | 2009-09-10 |
Last Update Date | 2011-01-27 |