NPI | 1417986373 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD M WULF Owner 479-271-9191 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 1533) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 1655) |
Enumeration Date | 2006-07-02 |
Last Update Date | 2009-08-11 |