| NPI | 1346472289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MARK CUPPS Corporate President 307-742-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WY 514) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |