NPI | 1275191702 |
---|---|
Doing Business As | WILDERNESS RIDGE CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | JOSHUA TIMOTHY AITKEN Owner/Chiropractor 308-675-2066 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2019-05-30 |
Last Update Date | 2019-05-30 |