| NPI | 1306040381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIE Q CAULDER President 651-436-7757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2013-09-05 |