| NPI | 1326135856 |
|---|---|
| Doing Business As | FAMILY CHIROPRACTIC OF WESTPORT |
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN THERIAULT President/Owner 704-578-9979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 2346) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |