| NPI | 1396170569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAVID LOWRY Owner 620-222-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10971) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: FL CH 10971) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2019-10-02 |