| NPI | 1386967099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY DAVID CREECH Chiropractor 731-796-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 038011628) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |