| NPI | 1477926301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVIS Owner 316-440-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 175F00000X Naturopath (Licence: KS 2100037) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2021-11-23 |