NPI | 1265612519 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY ANTHONY MICELI Doctor/Owner 615-771-8552 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2211) |
Enumeration Date | 2007-11-04 |
Last Update Date | 2007-11-04 |