| NPI | 1285976100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA HALSTEAD Chiropractor/Owner 781-659-2104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 3366) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3400) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |