| NPI | 1326895392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY LABRECQUE Owner/Managing Partner/Member 817-501-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 225100000X Physical Therapist | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |