| NPI | 1295274439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE REBECCA SEVERSON Owner 540-483-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556868) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |