| NPI | 1356492391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D. PICK Owner 620-225-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: KS 01-03788) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: MO 006116) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |