| NPI | 1275155475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN LUNDGREN Owner 505-917-3677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2025-04-12 |