| NPI | 1295097038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY T WALSH Owner/Manager 270-556-6519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 10673) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 10671) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2023-02-06 |