NPI | 1275803140 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA RUTH THOMASON Chiropractor/Owner 712-258-9044 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007423) |
Enumeration Date | 2012-01-09 |
Last Update Date | 2012-08-15 |