| NPI | 1356714752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ANDREW CLARKE Owner 858-522-0526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2016-01-26 |