| NPI | 1336787852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BETH MAINORD Owner 931-644-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |