NPI | 1255833117 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER SCOTT FOUST Owner 330-208-7088 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OH 4013) |
Enumeration Date | 2018-03-06 |
Last Update Date | 2023-03-23 |