| NPI | 1457056988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN L GATZKE Owner 646-740-1538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |