| NPI | 1386729804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SUMMERS Vice President 304-925-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WV 247) |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic (Licence: WV 441) |
| 225100000X Physical Therapist (Licence: WV 2602) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |