| NPI | 1417356767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERREK WESLEY STUDER Owner 270-307-9458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5374) |
| Additional Taxonomies | 171100000X Acupuncturist |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |