| 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 |