| NPI | 1437534831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE YOUNG Owner/ Chiropractor 817-542-1017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 87912941202) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |