| NPI | 1477136778 |
|---|---|
| Doing Business As | LIFESOURCE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LOUIS VIERHELLER Partner 419-961-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |