| NPI | 1295928307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ALEXANDER BLANCO Owner/ Doctor 865-670-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN DC1562) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |