| NPI | 1437647070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL BAKER Co Owner 843-540-3580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-11-21 |