| NPI | 1437889995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERA TUTTLE Billing And Credentialing Manager 907-232-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-06-16 |