NPI | 1295148229 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN STURGILL Owner 907-479-0036 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2014-06-06 |
Last Update Date | 2025-04-18 |