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 |