| NPI | 1467880963 |
|---|---|
| Doing Business As | HEALTHSOURCE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | TRAVIS THALER Owner 270-724-4247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |