| NPI | 1417220120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JAMES MICHAUD Chiropractic Physician 860-533-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001781) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |