| NPI | 1346534971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LEE WEBB Sec/Treasure 907-562-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 130) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AK 515) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2018-12-05 |