| NPI | 1396390050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS HOLM Owner 651-219-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |