| NPI | 1427180850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LUKE THIEL Owner 419-422-4491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OH 1766) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2010-06-30 |