| NPI | 1437666914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA J NAB Owner/Chief Clinical Officer 913-562-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 04604) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: KS 04640) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |