| NPI | 1477740199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY DAVID REMILLARD Chiropractor 701-258-5058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2025-02-26 |