| NPI | 1306146089 |
|---|---|
| Doing Business As | CHIROPRACTIC SPORTS AND NUTRITION CENTER |
| Entity Type | Organization |
| Authorized Contact | IRENE C PIERCE Office Manager 225-928-3244 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 1289) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |