| NPI | 1326516089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL LAWRENCE KOCH President 802-233-3675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 175F00000X Naturopath |
| 225100000X Physical Therapist | |
| Enumeration Date | 2018-11-10 |
| Last Update Date | 2018-11-10 |