| NPI | 1306210612 |
|---|---|
| Former Name | TARA E KOECKRITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 103116) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: AK 103116) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2023-04-30 |