| NPI | 1417365289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL ELIZABETH BLACKBURN Principal Member 989-413-3653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3907) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-09-23 |