| NPI | 1407603921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ANN UECKERT Chiropractor 701-300-0839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor |
| 111NR0400X Chiropractor, Rehabilitation | |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-05-02 |