| NPI | 1366740003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH WESLEY COOPER Owner/Doctor 269-274-5716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301008406) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-18 |