| NPI | 1457076705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT TAYLOR Sole Member 480-299-5916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-10 |