| NPI | 1346933942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN NABHAN Principal 928-580-3642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-30 |