NPI | 1457407413 |
---|---|
Former Legal Business Name | BIRD CHIROPRACTIC BC |
Entity Type | Organization |
Authorized Contact | BRIAN E BIRD Owner/Doctor 618-529-5172 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 225100000X Physical Therapist |
225700000X Massage Therapist | |
Enumeration Date | 2007-01-25 |
Last Update Date | 2015-12-15 |