| NPI | 1356624860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY TYLER MOORE Owner 440-953-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3382) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 3589) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2024-07-25 |