| NPI | 1255962379 |
|---|---|
| Doing Business As | SEAPORT SPINE & SPORT |
| Entity Type | Organization |
| Authorized Contact | RYAN HOLLIEN Owner/Chiropractor 617-519-3607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |