| NPI | 1467867390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE LOTRIET Owner 815-267-8596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2024-04-04 |